title: Emphysematous pyelonephritis with acute renal failure.
abstract: A 56-year-old woman with obesity and poorly controlled diabetes mellitus presented with a two-day history of abdominal fullness and vomiting. No fever, flank pain or dysuria was present. On admission, her blood urea nitrogen concentration was 74 mg per deciliter and the serum creatinine concentration was 3.5 mg per deciliter. Laboratory data revealed an elevated white blood cell count (11.72 x 10(3)/ml), blood sugar (826 mg/dl), pyuria (WBC 30-50/HPF) and negative urine ketone. A plain abdominal radiograph revealed right renal stones and localized air accumulation at the left upper abdominal area.
authors.affiliation: Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan. b3401095@mail2000.com.tw
authors.forename: Shiu-Dong
authors.initials: SD
authors.lastname: Chung
authors.forename: Chun-Hou
authors.initials: CH
authors.lastname: Liao
authors.forename: Hsu-Dong
authors.initials: HD
authors.lastname: Sun
authors.forename: Wen-Ching
authors.initials: WC
authors.lastname: Wen
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D001806:Blood Urea Nitrogen; D048909:Diabetes Complications / Q000175:diagnosis; D018450:Disease Progression; D004646:Emphysema / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D007659:Ketones / Q000652:urine; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D011704:Pyelonephritis / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014572:Urology / Q000379:methods*
chemical_list: D007659:Ketones