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Journal of the Korean Geriatrics Society 2000;4(3):199-203.
Published online September 30, 2000.
A Case of Emphysematous Pyelonephritis with Emphysematous Cystitis
Sun Doo Kim, Soon Je Kim, Kil Do Lee, Jeong Soo Kim, Chi Hoon Kim, Ho Sang Yun, Jong Oh Song
Department of Internal Medicine, Kun-Kuk University College of Medicine, Chungju, Korea.
기종성 방광염을 동반한 기종성 신우신염 1예
Abstract
A 68 year old male with diabetes mellitus visited our hospital due to general weakness and abdominal pain. Patient was in severe septic condition, abdominal X-ray and CT revealed gas shadow on left kidney and bladder. E-coli grew on urine culture. Thus we were able to diagnose the patient as the emphysematous pyelonephritis with emphysematous cystitis. The patient was treated with antibiotics and bilateral bladder catheter drainage. However the patient expired due to severe sepsis. Although the emphysematous pyelonephritis and emphysematous cystitis are rare disease, they result in life threatening complication in diabetic patients. Because of rarity of these diseases, the clinical and radiological classifications, the treatment and the progress are not established. These two diseases have the same causes such as diabetes mellitus or urinary tract obstruction and can be expanded due to anatomical relationships resulting in increased mortality. The authors report 68 year old male diabetic patient with emphysematous pyelonephritis with emphysematous cystitis with literature review.
Key Words: Emphysematous pyelonephritis, Emphysematous cystitis
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