title: [Two patients with emphysematous pyelonephritis].
abstract: A 55-year-old man with diabetes mellitus was sick with shivering, abdominal pain and Escherichia coli in blood and urine cultures; a 40-year-old woman with asthmatic bronchitis had abdominal pain and anaemia. Both had renal dysfunction and the CT scan showed hydronephrosis with a perirenal inflammatory infiltrate and gas in the right and left renal pelvis, respectively. The man had a difficult recovery after treatment with antibiotics and percutaneous drainage. In the woman, a calculus obstructed the pyelo-ureteral passage; the resected kidney contained a squamous cell carcinoma. She was operated, received chemotherapy and recovered. Emphysematous pyelonephritis is a rare, severe disease. Percutaneous drainage and, if necessary, nephrectomy are paramount in the treatment. The condition is observed mostly in patients with diabetes mellitus or obstruction of the urinary tract.
authors.affiliation: Ikazia Ziekenhuis, Rotterdam.
authors.forename: R
authors.initials: R
authors.lastname: van der Kamp
authors.forename: J E
authors.initials: JE
authors.lastname: Nienhuis
authors.forename: P A
authors.initials: PA
authors.lastname: Rosekrans
authors.forename: A
authors.initials: A
authors.lastname: Dees
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004646:Emphysema / Q000175:diagnosis / Q000628:therapy; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D009403:Nephrostomy, Percutaneous; D011704:Pyelonephritis / Q000175:diagnosis / Q000382:microbiology / Q000628:therapy*; D016896:Treatment Outcome; D014514:Ureteral Calculi / Q000150:complications; D014517:Ureteral Obstruction / Q000150:complications
chemical_list: D000900:Anti-Bacterial Agents