A Case of Emphysematous Pyelonephritis Complicated with Septic Pulmonary Embolism.
- Author:
Jung Hee KOH
1
;
Jung Seop EOM
;
Jung Sub KIM
;
Sang Heon SONG
;
Im Soo KWAK
;
Eun Young SEONG
Author Information
1. Divison of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea. sey02200@paran.com
- Publication Type:Case Report
- Keywords:
Pyelonephritis;
Pulmonary embolism;
Sepsis
- MeSH:
Abdominal Pain;
Abscess;
Anti-Bacterial Agents;
Female;
Fever;
Humans;
Leukocytosis;
Middle Aged;
Nausea;
Nephrectomy;
Pulmonary Embolism;
Pyelonephritis;
Pyuria;
Renal Veins;
Sepsis;
Thrombosis
- From:Korean Journal of Nephrology
2011;30(1):112-115
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Emphysematous pyelonephritis is an unusual, severe gas-forming infection of renal parenchyma and its surrounding areas. It is a rare cause of septic pulmonary embolism. We report on a case of emphysematous pyelonephritis complicated with renal vein thrombosis and septic pulmonary embolism with review of the literature. A 51-year-old diabetic woman was admitted to our hospital with symptoms of fever, diffuse abdominal pain and nausea. Her initial laboratory findings showed pyuria and leukocytosis. She was diagnosed with acute pyelonephritis with abscess formation on contrast enhanced abdominal CT. She was treated with antibiotics and percutaneous abscess aspiration, but progressed to emphysematous pyelonephritis complicated with renal vein thrombosis and septic pulmonary embolism. Finally she underwent the left total nephrectomy.
