[Emphysematous pyelonephritis--a rare cause of sepsis].
A 66-year old female was admitted to our ICU in septic shock with accompanying signs of gastroenteritis and diabetic-related hyperglycemia. Computer tomography of the abdomen revealed the rare diagnosis of emphysematous pyelonephritis. Immediate nephrectomy led to a favourable outcome in this dramatic case. Although abscess drainage and broad-based antibiotic therapy are generally the first-line therapy today, emergency surgery would seem to be indicated in selected cases.
Schaal
M
M
Abteilung für Anästhesie, Intensivmedizin und Schmerztherapie, Heilig Geist-Krankenhaus, Köln.
D000368:Aged; D003920:Diabetes Mellitus / Q000503:physiopathology; D003928:Diabetic Nephropathies / Q000175:diagnosis* / Q000601:surgery; D004646:Emphysema / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005759:Gastroenteritis / Q000150:complications; D006801:Humans; D006943:Hyperglycemia / Q000150:complications; D011704:Pyelonephritis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D012772:Shock, Septic / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Die emphysematöse Pyelonephritis--Seltene Ursache einer Sepsis.