Emphysematous pyelonephritis: case report and literature review
10.3760/cma.j.issn.1671-7368.2013.08.023
- VernacularTitle:气肿性肾盂肾炎二例并文献复习
- Author:
Shaozhong XIAN
;
Bo SONG
;
Guangqi KONG
- Publication Type:Journal Article
- Keywords:
Emphysema;
Pyelonephritis
- From:
Chinese Journal of General Practitioners
2013;12(8):648-650
- CountryChina
- Language:Chinese
-
Abstract:
To explore the diagnosis and treatment of emphysematous pyelonephritis so as to improve its diagnosis and reduce its mortality.The clinical data were retrospectively analyzed for 2 diabetic patients with emphysematous pyelonephritis.Their symptoms included high fever,chills and lumbago.Computed tomography (CT) scans were performed to reach a definite diagnosis of emphysematous pyelonephritis with gas within renal parenchyma and/or perirenal tissue.Both received intravenous antibiotics.One patient underwent open abscess drainage while another percutaneous puncture under ultrasonic guidance.Their conditions improved and healed.CT scan is an efficient imaging modality for early diagnosis.The combination of antibiotics and early drainage may offer a better outcome.
