Emphysematous Pyelonephritis: A Case Report and Review of the Literature

당뇨병 환자에서 발생한 기종성 신우신염 1례

  • Yoon, Hyun-Dae (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Won, Kyu-Chang (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Lee, Chan-Woo (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Jo, In-Ho (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Lee, Hyung-Woo (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Yoon, Kyung-Woo (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Lee, Heun-Ju (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Lee, Hyun-Woo (Department of Internal Medicine College of Medicine, Yeungnam University) ;
  • Cho, Cheol-Kyu (Department of Urology College of Medicine, Yeungnam University) ;
  • Kim, Young-Soo (Department of Urology College of Medicine, Yeungnam University)
  • 윤현대 (영남대학교 의과대학 내과학교실) ;
  • 원규장 (영남대학교 의과대학 내과학교실) ;
  • 이찬우 (영남대학교 의과대학 내과학교실) ;
  • 조인호 (영남대학교 의과대학 내과학교실) ;
  • 이형우 (영남대학교 의과대학 내과학교실) ;
  • 윤경우 (영남대학교 의과대학 내과학교실) ;
  • 이헌주 (영남대학교 의과대학 내과학교실) ;
  • 이현우 (영남대학교 의과대학 내과학교실) ;
  • 조철규 (영남대학교 의과대학 비뇨기과학교실) ;
  • 김영수 (영남대학교 의과대학 비뇨기과학교실)
  • Published : 1993.12.30

Abstract

Emphysematous pyelonephritis is a necrotizing renal infections characterized by intrarenal and occasional perirenal gas production. Although uncommon (89 cases in the literature), it occurs almost exclusively in diabetic patients (87% of the cases). Prompt and aggressive management is required to salvage these patients. We describe a recent case of a diabetic woman with emphysematous pyelonephritis due to E. Coli, successfully managed with unilateral nephrectomy.

저자들은 당뇨병 환자에서 발생한 기종성 신우신염을 내과적 치료와 응급 신적출술로 성공적으로 치험하였기에 문헌고찰과 함께 보고하는 바이다.

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