title: [A case of bilateral emphysematous pyelonephritis associated with diabetes mellitus and liver cirrhosis].
abstract: A 32-year-old woman was hospitalized with the chief complaints of high fever and right flank pain. The patient had received treatment for diabetes mellitus and liver cirrhosis. The patient's laboratory data indicated pyuria, renal dysfunction and hyperglycemia. E. coli was detected in the blood, urine and pus. Plain abdominal X-ray revealed gas shadows at the right renal region. Abdominal CT scanning also showed gas shadows in the renal parenchyma of both sides. A diagnosis of bilateral emphysematous pyelonephritis was made. Chemotherapy and retroperitoneal drainage was performed. After therapy, the patient's laboratory data was improved and the abnormal gas shadows disappeared. We reviewed 77 cases of emphysematous pyelonephritis, including our case, from the Japanese literature.
authors.affiliation: Third Department of Internal Medicine, Nihon University School of Medicine.
authors.forename: E
authors.initials: E
authors.lastname: Hayashi
authors.forename: Y
authors.initials: Y
authors.lastname: Arakawa
mesh_terms: D000328:Adult; D048909:Diabetes Complications; D003928:Diabetic Nephropathies / Q000150:complications; D004646:Emphysema / Q000150:complications*; D005260:Female; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D011704:Pyelonephritis / Q000150:complications*