Emphysematous pyelonephritis with acute renal failure.
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.
Chung
Shiu-Dong
SD
Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan. b3401095@mail2000.com.tw
Liao
Chun-Hou
CH
Sun
Hsu-Dong
HD
Wen
Wen-Ching
WC
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*
D007659:Ketones