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[Emphysematous pyelonephritis and perinephritis].
B Guillonneau1, O Bouchot, F Buzelin
1Clinique Urologique, Nantes, Hôtel-Dieu.
Annales D'Urologie
|January 1, 1989
Summary
Emphysematous perinephritis, a potential early stage of emphysematous pyelonephritis, affects middle-aged diabetic women. Early surgical drainage enables conservative management for this renal condition.
Area of Science:
- Nephrology
- Radiology
- Infectious Diseases
Background:
- Emphysematous infections of the kidney are rare but serious conditions.
- Distinguishing between perinephritic and pyelonephritic forms is crucial for management.
- Diabetes mellitus is a significant risk factor.
Observation:
- The study presents an eighth case of emphysematous perinephritis and a new case of emphysematous pyelonephritis.
- Both conditions commonly affect middle-aged women with diabetes.
- Clinical presentation includes sepsis with gas patterns on imaging.
Findings:
- Intravenous pyelography shows delayed excretion and gas images over the renal area.
- Computed tomography precisely localizes gas within the perinephritic or intraparenchymal spaces.
- Emphysematous perinephritis may represent an early stage of emphysematous pyelonephritis.
Implications:
- Early diagnosis and intervention are key for favorable outcomes.
- Surgical drainage of the renal compartment facilitates conservative treatment in early stages.
- Understanding the relationship between these two conditions can guide clinical decision-making.