[Fatal emphysematous pyelonephritis].
A man aged 46 years with diabetes mellitus was admitted with acute right-sided renal symptoms. Pyelonephritis emphysematous without concretions was found. The patient was treated with insulin, fluids, electrolytes and antibiotics and nephrostomy was performed and, subsequently, an internal JJ-catheter in the ureter. The symptoms disappeared and he was discharged on a low dosage of sulphamethizol. After the planned removal of the JJ-catheter, sepsis running a lethal course developed. This emphasizes the importance of adequate prophylactic antibiotic therapy in connection with interventions in the urinary tracts.
Andersen
J B
JB
Aalborg Sygehus Nord, Urologisk og radiologisk afdeling.
Olsen
A D
AD
Pedersen
H M
HM
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002954:Citrobacter / Q000302:isolation & purification; D003928:Diabetic Nephropathies / Q000000981:diagnostic imaging; D004646:Emphysema / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation; D011704:Pyelonephritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography
D000900:Anti-Bacterial Agents
Letalt forløbende pyelonephritis emphysematosa.