A Case of Simultaneous Bilateral Emphysematous Pyelonephritis and Cystitis.
- Author:
Dae Kyeong KIM
1
;
Jong Min LEE
;
Jae Sam KIM
;
Moon Hyun CHUNG
;
Kyung Sik KO
;
Ja Ryong KOO
;
Hyung Jik KIM
;
Rho Won CHUN
;
Dong Hwan CHAE
;
Jung Woo NOH
Author Information
1. Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Emphysematous cystitis;
Emphysematous pyelonephritis
- MeSH:
Bacteria, Aerobic;
Cystitis*;
Diabetes Mellitus;
Escherichia coli;
Humans;
Korea;
Middle Aged;
Pyelonephritis*;
Urinary Tract
- From:Korean Journal of Medicine
1998;54(3):433-436
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since the first clinical observation by Kelly and MacCallum, gas-forming infection of the urinary tract has been extensively studied. It is characterized by gas production within the urinary tract. The gas may often pass outside the urinary tract. Patients with this disorder invariably have uncontrolled diabetes mellitus and pos sibly associated obstructive uropathy. It is usually caused by aerobic bacteria, most commonly Escherichia coli. In the literature, the majority of cases were emphy sematous pyelonephritis alone or emphysematous cystitis separately. Bilateral renal involvement associated with emphysematous cystitis is very rarely seen and no case was reported yet in Korea. We report a case of bilateral emphysematous pye lonephritis and emphysematous cystitis which occured in 48-year-old diabetic patient simultaneously. It was caused by E. coli. The patient was cured by medical management alone.
