[Intra- and peri-renal gas formation. Bilateral emphysematous pyelonephritis].
Bilateral emphysematous pyelonephritis is an extremely rare, rapidly progressive and life-threatening intrarenal and perirenal infection. It is associated with diabetes mellitus, obstruction of the upper urinary tract and the presence of gas-forming coliform bacteria. As it presents as a severe acute pyelonephritis, a high index of suspicion and computer-tomographic imaging are essential to make the diagnosis. Only immediate combined medical and (bilateral) surgical therapy can reduce the high patient mortality. Postoperatively, computer-tomographic monitoring is recommended to follow the response to therapy.
Klinik und Poliklinik für Urologie, Westfälische Wilhelms-Universität Münster.
G
G
Pühse
N
N
Roos
K
K
Ludwig
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L
Hertle
D000368:Aged; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D015378:Imipenem / Q000008:administration & dosage; D007668:Kidney / Q000473:pathology; D008159:Lumbar Vertebrae / Q000601:surgery*; D008795:Metronidazole / Q000008:administration & dosage; D009392:Nephrectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D011704:Pyelonephritis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D012086:Reoperation; D013130:Spinal Stenosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D008795:Metronidazole; D015378:Imipenem
Intra- und perirenale Gasbildung. Bilaterale emphysematöse Pyelonephritis.