[Emphysematous pyelonephritis].
作者信息
Valbuena Alvarez R J, Cajide Montero J L, Santos-Ascarza Tabares J L, De la Rosa Kehrmann M, Rodríguez De la Rua J, Esteban Hernández O, Barreiro Mouro A
机构信息
Servicio de Urología, Residencia Cristal-Piñor, Orense.
出版信息
Actas Urol Esp. 1997 Feb;21(2):154-7.
OBJECTIVE
To present an uncommon but startling case of a urinary tract infectious disease such as renal emphysematous pyelonephritis.
METHOD/RESULTS: We report the case of a decompensated diabetic female patient who presented an intrarenal infectious picture with gas formation compatible with emphysematous pyelonephritis that showed good evolution following medical treatment and simple nephrectomy surgery.
CONCLUSIONS
Emphysematous pyelonephritis is a serious infective disease that occurs almost exclusively in diabetic patients and requires a fast and correct diagnosis differentiating between diffuse from focused processes in order to advise conservative or aggressive therapy on the renal unit (percutaneous drainage/nephrectomy), based on immediate hemodynamic and antibiotic medical support, due to its serious prognosis such as is described in the literature.
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