Clinics in diagnostic imaging (99). Left emphysematous pyelonephritis.
A 57-year-old woman, known to have diabetes mellitus, presented with a one-week history of fever, dysuria, and left flank pain. Computed tomography showed extensive left renal parenchymal destruction and a large gas collection. Urine culture revealed growth of Escherichia coli. The diagnosis of emphysematous pyelonephritis was confirmed at left nephrectomy. The clinical manifestations of emphysematous pyelonephritis, types of gas-forming renal infection, and their radiological findings are discussed.
Muttarak
M
M
Department of Radiology, Chiang Mai University, Chiang Mai 50200, Thailand. mmuttara@med.cmu.ac.th
Mai
W Na Chiang
WN
D048909:Diabetes Complications; D004646:Emphysema / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D004927:Escherichia coli Infections; D005260:Female; D006801:Humans; D007681:Kidney Papillary Necrosis / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000628:therapy; D008875:Middle Aged; D009392:Nephrectomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome