Pode D, Perlberg S, Fine H
Urology. 1985 Sep;26(3):313-5. doi: 10.1016/0090-4295(85)90139-6.
Emphysematous renal infection is a severe, rare complication of urinary tract infection associated with gas production, which frequently causes renal destruction and has a high mortality rate. It is termed emphysematous pyelitis when gas is confined to the collecting system, or emphysematous pyelonephritis if it also involves the parenchyma with or without the perirenal space. Only 7 cases of perirenal emphysema have been described previously; all were in diabetics. Here we present a rare case of gas-producing renal infection in the collecting system and perirenal tissues, in a nondiabetic patient, and discuss the management of the various types of emphysematous renal infections.
气肿性肾感染是尿路感染的一种严重且罕见的并发症，与气体产生有关，常导致肾脏破坏，死亡率高。当气体局限于集合系统时称为气肿性肾盂炎，如果气体还累及肾实质（无论有无肾周间隙）则称为气肿性肾盂肾炎。此前仅报道过7例肾周气肿病例，均为糖尿病患者。本文报告1例非糖尿病患者集合系统及肾周组织产气性肾感染的罕见病例，并讨论各种类型气肿性肾感染的处理方法。
