Diabetes Monit 2000;1(2):170-178.
무증상 세균뇨를 보인 당뇨병 환자에서 발견된 기종성 신우신염 1 예
조병식, 손현식, 이정민, 안유배, 윤건호, 강무일, 차봉연, 이광우, 손호영, 강성구
A Case of Emphysematous Pyelonephritis in Diabetes Mellitus with Asymptomatic Bacteriuria
Byoung Sik Cho, Hyun Shik Son, Jung Min Lee, Yu Bae Ahn, Kun Ho Yoon, Moo Il Kang, Bong Yun Cha, Kwang Woo Lee, Ho Young Son, Sung Ku Kang
Abstract
The emphysematous pyelonephritis is an uncommon, but life-threatening, severe renal infection characterized by the presence of gas in the renal parenchyma or perinephric space. The prompt diagnosis and early treatment is important in the prognosis of the disease. The disease is encountered mainly in patients with uncontrolled diabetes mellitus and/or obstructive uropathy, etc. The mortality rate of patients treated conservatively approaches approximately 80% in some series. These patients often present with signs of sepsis or septic shock. We experienced a case of diabetic patient with asymptomatic bacteriuria who was diagnosed as emphysematous pyelonephritis by abdominal ultrasonogram and CT scanning. It was caused by Klebsiella pneumoniae and treated by medical treatment alone. We herein report the case with literature.
Key Words: Emphysematous pyelonephritis , Asymptomatic bacteriuria , Diabetes mellitus , Klebsiella pneumoniae


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