An alveolate kidney:A case report of emphysema pyelonephritis  

作　　者：De-Gang Wang Jian-Jiao Chen 

机构地区：[1]Department of Emergency Surgery,Chaoyang Municipal Central Hospital,Liaoning Province,China [2]Department of General Surgery,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou,China

出　　处：《Journal of Acute Disease》2022年第2期85-87,共3页急性病杂志（英文版）

摘　　要：Rationale:Emphysematous pyelonephritis is a life-threatening infectious disease that requires early diagnosis and treatment.The disease is often misdiagnosed due to its diversity of clinical manifestations.Patient’s concern:A 62-year-old woman was admitted to the emergency department following a 12-hour history of abdominal pain and dyspnea.Physical examination showed percussion pain on the right costovertebral angle.Besides,she had a history of diabetes mellitus and urinary calculus.Diagnosis:Emphysematous pyelonephritis.Intervention:The patient accepted antishock therapy,tight glucose control,and broad-spectrum anti-infective therapy.After stabilization of the general condition,an ultrasound-guided percutaneous nephrostomy was performed.Outcome:Her conditions became stable over the following days.She presented a favorable clinical course,with normalization of renal function and positive improvements in imaging findings in a month.Lessons:Early diagnosis and rapid medical management are the keys to successful treatment.CT is an important method for the diagnosis of emphysematous pyelonephritis.For patients with severe lesions,percutaneous renal drainage combined with active anti-infection should be given in time.

关 键 词：Emphysematous pyelonephritis CT Conservative management 

分 类 号：R73[医药卫生—肿瘤]