Two Cases of Bilateral Emphysematous Pyelonephritis / 대한비뇨기과학회지

ABSTRACT

Emphysematous pyelonephritis is a life-threatening, severe renal infection characterized by the presence of gas in the renal parenchyma or perirenal space. Bilateral involvement is rarely seen, with only 17 cases reported in the iterature. We herein report two cases of bilateral emphysematous pyelonephritis. One is occurred subsequently in a patient with diabetic cystopathy, the other is developed simultaneously and shows bilaterally-communicated gas pattern on computerized tomography. The theories on pathogenesis of the disease are reviewed and the modes of disease progression in our patients are discussed.