A Case of Bilateral Emphysematous Pyelitis in a Diabetic End-stage Renal Disease Patient Undergoing Peritoneal Dialysis Therapy.
- Author:
Yeon Oh JEONG
1
;
Sang Hoon CHUN
;
Ji Yoen YU
;
Kang Yeon WON
;
Sang Ju LEE
;
Yoon Kyung CHANG
;
Yeon Su LEE
;
Suk Young KIM
Author Information
1. Department of Internal Medicine, College of medicine, The Catholic University of Korea, Seoul, Korea. racer@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Emphysematous pyelitis;
Diabetes mellitus;
Peritoneal dialysis
- MeSH:
Diabetes Mellitus;
Humans;
Kidney Calculi;
Kidney Failure, Chronic;
Peritoneal Dialysis;
Pyelitis;
Risk Factors;
Urinary Tract
- From:Korean Journal of Nephrology
2009;28(1):67-72
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Emphysematous pyelitis is uniquely characterized by gas-forming infection restricted to the renal collecting system. This disease entity is uncommon, and shows preferred occurrence in patients with diabetes mellitus or urinary tract obstruction. We report a case of bilateral emphysematous pyelitis in a diabetic end-stage renal disease patient undergoing peritoneal dialysis therapy. The patient was treated by medical treatment only and then recovered from infection, and she has maintained peritoneal dialysis until today. The authors report this case as a successful medical treatment for emphysematous pyelitis accompanying multiple risk factors, such as diabetes mellitus, amorphous medullary kidney stones, and even underlying maintaining peritoneal dialysis.