Patterson J E, Andriole V T
University of Texas Health Science Center at San Antonio, USA.
Infect Dis Clin North Am. 1995 Mar;9(1):25-51.
Bacterial UTIs are a common problem in patients with diabetes mellitus. Bacteriuria is more common in diabetic women than in non-diabetics owing to a combination of host and local risk factors. Upper tract disease is also more common in this group. Diabetics are at higher risk for intrarenal abscess, with a spectrum of disease ranging from acute focal bacterial pyelonephritis to renal corticomedullary abscess to the renal carbuncle. A number of uncommon complicated UTIs, such as emphysematous pyelonephritis and emphysematous pyelitis, occur more frequently in diabetics. Because of the frequency and severity of UTI in diabetics, prompt diagnosis and early therapy is warranted.
细菌性尿路感染是糖尿病患者的常见问题。由于宿主和局部危险因素的综合作用，菌尿症在糖尿病女性中比非糖尿病女性更常见。上尿路疾病在这一群体中也更常见。糖尿病患者发生肾内脓肿的风险更高，疾病范围从急性局灶性细菌性肾盂肾炎到肾皮质髓质脓肿再到肾痈。一些不常见的复杂性尿路感染，如气肿性肾盂肾炎和气肿性肾盂炎，在糖尿病患者中更频繁发生。由于糖尿病患者尿路感染的发生率和严重程度，需要及时诊断和早期治疗。
