Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
Kidney Research and Clinical Practice
; : 150-153, 2014.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-194871
Biblioteca responsable:
WPRO
ABSTRACT
Emphysematous pyelonephritis (EPN) is a life-threatening infection characterized by the formation of gas. Complications of EPN include septic shock, acute renal failure, and disseminated intravascular coagulation. Spontaneous subcapsular hematoma (SCH) has also been reported as a rare complication of EPN, although there have been no reports to date of this occurring prior to the presentation of EPN. We report a case of EPN that initially presented as spontaneous SCH. The patient was admitted for left flank pain, and initial computed tomography revealed SCH without any air shadows. Laboratory findings and clinical symptoms suggested the presence of urinary tract infection and the patient was started on antibiotics. Fever developed 24 hours after admission. On follow-up computed tomography 7 days later, EPN was newly observed, and a percutaneous drain was inserted. Blood, urine, and drainage fluid cultures all revealed growth of extended-spectrum beta-lactamase-negative Escherichia coli.
Texto completo:
Disponible
Contexto en salud:
Enfermedades Desatendidas
Problema de salud:
Enfermedades Desatendidas
/
Zoonosis
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Pielonefritis
/
Choque Séptico
/
Infecciones Urinarias
/
Drenaje
/
Estudios de Seguimiento
/
Dolor en el Flanco
/
Coagulación Intravascular Diseminada
/
Enfisema
/
Escherichia coli
/
Lesión Renal Aguda
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Kidney Research and Clinical Practice
Año:
2014
Tipo del documento:
Artículo