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[Emphysematous pyelonephritis: apropos of 4 cases]
L Rocher1, A De Leusse-Vialar, J P Tasu
1Service de Radiologie générale, Hopital de Bicêtre, Le Kremlin Bicêtre.
Journal De Radiologie
|May 18, 1999
Summary
Emphysematous pyelonephritis, a severe kidney infection, is best diagnosed using CT scans. This imaging technique helps identify gas within the kidney, crucial for timely and effective treatment, especially in diabetic patients.
Area of Science:
- Nephrology
- Radiology
- Infectious Diseases
Background:
- Emphysematous pyelonephritis is a rare, life-threatening renal infection.
- It predominantly affects diabetic patients, often presenting with severe symptoms.
Purpose of the Study:
- To describe imaging findings in emphysematous pyelonephritis.
- To review the literature on this condition.
Main Methods:
- Case presentation of four patients with emphysematous pyelonephritis.
- Review of imaging studies, including ultrasound (US) and computed tomography (CT).
Main Results:
- Gas within the kidney is detectable by plain film or ultrasound.
- CT provides superior evaluation of the location and extent of gas.
- Literature review confirms the rarity and severity of emphysematous pyelonephritis.
Conclusions:
- CT is a valuable tool for diagnosing emphysematous pyelonephritis.
- CT is particularly useful when clinical symptoms do not improve with medical management.