Zabbo A, Montie J E, Popowniak K L, Weinstein A J
Urology. 1985 Mar;25(3):293-6. doi: 10.1016/0090-4295(85)90332-2.
Emphysematous pyelonephritis is a severe infection found almost exclusively in diabetics, characterized by the presence of gas within the renal parenchyma. The diagnosis is established radiographically. An additional case is added to the 52 cases reported in the literature; we believe this is the fifth reported case with bilateral emphysematous pyelonephritis. If appropriate diagnostic studies demonstrate no evidence of either perinephric abscess or urinary obstruction, intensive medical management should be the initial therapy for this condition. Surgical intervention is necessary in patients without prompt response to medical therapy.
气肿性肾盂肾炎是一种几乎仅见于糖尿病患者的严重感染，其特征为肾实质内存在气体。诊断依靠影像学检查确定。本文在文献报道的52例基础上新增1例；我们认为这是第5例双侧气肿性肾盂肾炎的报道病例。如果适当的诊断性检查未发现肾周脓肿或尿路梗阻的证据，强化内科治疗应为此病的初始治疗方法。对内科治疗无迅速反应的患者有必要进行外科干预。
