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[Intra- and peri-renal gas formation. Bilateral emphysematous pyelonephritis]
1Klinik und Poliklinik für Urologie, Westfälische Wilhelms-Universität Münster.
Der Urologe. Ausg. A
|July 17, 1999
Abstract:
Bilateral emphysematous pyelonephritis is an extremely rare, rapidly progressive and life-threatening intrarenal and perirenal infection. It is associated with diabetes mellitus, obstruction of the upper urinary tract and the presence of gas-forming coliform bacteria. As it presents as a severe acute pyelonephritis, a high index of suspicion and computer-tomographic imaging are essential to make the diagnosis. Only immediate combined medical and (bilateral) surgical therapy can reduce the high patient mortality. Postoperatively, computer-tomographic monitoring is recommended to follow the response to therapy.