[Two patients with emphysematous pyelonephritis].
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.
van der Kamp
R
R
Ikazia Ziekenhuis, Rotterdam.
Nienhuis
J E
JE
Rosekrans
P A
PA
Dees
A
A
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
D000900:Anti-Bacterial Agents