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[A case report of emphysematous pyelonephritis].
Hinyokika Kiyo. Acta Urologica Japonica
|February 1, 1990
Summary
Emphysematous pyelonephritis, a severe kidney infection, requires prompt diagnosis and treatment. This case highlights the importance of controlling diabetes mellitus for successful management and surgical intervention.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelonephritis is a rare, aggressive necrotizing infection of the renal parenchyma.
- Diabetes mellitus is a significant risk factor, often associated with poor outcomes.
Observation:
- A 51-year-old male with diabetes presented with fever and flank pain, showing pyuria on urinalysis.
- CT scan revealed gas within the right renal parenchyma, indicative of emphysematous pyelonephritis.
Findings:
- The patient underwent right subcapsular nephrectomy after achieving glycemic control.
- A review of 57 Japanese literature cases discussed etiology, symptoms, treatment, and prognosis.
Implications:
- Early diagnosis and management, including glycemic control, are crucial for emphysematous pyelonephritis.
- Surgical intervention may be necessary in severe cases.
- Understanding the disease's characteristics aids in improving patient outcomes.