PDF(Pubmed)
Abstract：
BACKGROUND: Emphysematous pyelonephritis is a severe kidney infection characterized by gas formation, predominantly affecting diabetic women. Symptoms include fever, pain, and nausea, requiring urgent and accurate management due to its potentially fatal nature.
METHODS: This article reports a successful management of a case of bilateral emphysematous pyelonephritis complicated with perinephric, retroperitoneal collection and urosepsis.
CONCLUSIONS: Emphysematous pyelonephritis (EPN) is a severe kidney infection characterized by acute necrotizing infection in the renal tissue and nearby structures. While EPN typically affects individuals with risk factors such as diabetes, obstructive uropathy, and hypertension, this case is unique because the patient lacks these common risk factors but hails from a region where EPN is more prevalent. The management of EPN has evolved over the years, with recent advances in imaging, antibiotics, and drainage techniques leading to a shift from invasive surgical procedures to more conservative approaches, resulting in improved outcomes and reduced mortality rates.
CONCLUSIONS: Emphysematous pyelonephritis demands urgent intervention to prevent high mortality rates. Swift, tailored treatment, including antibiotics and possible surgical interventions, is crucial, involving a multidisciplinary approach for improved patient outcomes.
METHODS: This article reports a successful management of a case of bilateral emphysematous pyelonephritis complicated with perinephric, retroperitoneal collection and urosepsis.
CONCLUSIONS: Emphysematous pyelonephritis (EPN) is a severe kidney infection characterized by acute necrotizing infection in the renal tissue and nearby structures. While EPN typically affects individuals with risk factors such as diabetes, obstructive uropathy, and hypertension, this case is unique because the patient lacks these common risk factors but hails from a region where EPN is more prevalent. The management of EPN has evolved over the years, with recent advances in imaging, antibiotics, and drainage techniques leading to a shift from invasive surgical procedures to more conservative approaches, resulting in improved outcomes and reduced mortality rates.
CONCLUSIONS: Emphysematous pyelonephritis demands urgent intervention to prevent high mortality rates. Swift, tailored treatment, including antibiotics and possible surgical interventions, is crucial, involving a multidisciplinary approach for improved patient outcomes.
摘要：
背景：气肿性肾盂肾炎是一种以气体形成为特征的严重肾脏感染，主要影响糖尿病妇女。症状包括发烧，疼痛,恶心,由于其潜在的致命性质，需要紧急和准确的管理。
方法：本文报告1例双侧气肿性肾盂肾炎并发肾周的成功治疗，腹膜后收集和尿脓毒血症。
结论：肺气肿性肾盂肾炎（EPN）是一种严重的肾脏感染，其特征是肾组织和附近结构的急性坏死性感染。虽然EPN通常会影响患有糖尿病等危险因素的个体，阻塞性尿路病,和高血压，这种情况是独特的,因为患者缺乏这些常见的危险因素,但来自EPN更普遍的地区.EPN的管理经过多年的发展,随着成像的最新进展，抗生素,和引流技术导致从侵入性外科手术转向更保守的方法，结果改善，死亡率降低。
结论：肺气肿性肾盂肾炎需要紧急干预以防止高死亡率。Swift,量身定制的治疗，包括抗生素和可能的外科手术,是至关重要的,涉及改善患者预后的多学科方法。
方法：本文报告1例双侧气肿性肾盂肾炎并发肾周的成功治疗，腹膜后收集和尿脓毒血症。
结论：肺气肿性肾盂肾炎（EPN）是一种严重的肾脏感染，其特征是肾组织和附近结构的急性坏死性感染。虽然EPN通常会影响患有糖尿病等危险因素的个体，阻塞性尿路病,和高血压，这种情况是独特的,因为患者缺乏这些常见的危险因素,但来自EPN更普遍的地区.EPN的管理经过多年的发展,随着成像的最新进展，抗生素,和引流技术导致从侵入性外科手术转向更保守的方法，结果改善，死亡率降低。
结论：肺气肿性肾盂肾炎需要紧急干预以防止高死亡率。Swift,量身定制的治疗，包括抗生素和可能的外科手术,是至关重要的,涉及改善患者预后的多学科方法。
