Emphysematous Pyelonephritis, Ureteritis, and Cystitis which Occur Simultaneously in a Diabetic Neurogenic Bladder Patient / 대한신장학회잡지

ABSTRACT

Since the first case was known by Kelly and MacCallum in 1898, gas-forming bacterial infection of the urinary tract has been reported infrequently. This disease occurs more frequently in diabetics or women, and is mainly caused by aerobic Gram negative bacteria, most commonly E. coli. Although the pathogenesis of gas formation in this disease is still poorly understood, glucose fermentation by the causative bacteria has been considered as the main mechanism. In the literature, the majority of cases reported were emphysematous pyelonephritis and/or emphysematous cystitis, together or separately. But simultaneous development of emphysematous infection of kidney, ureter and bladder has been reported very rarely and no case has been reported yet in Korea. We report a case of emphysematous pyelonephritis, ureteritis, and cystitis which occurred simultaneously in 35-year-old female patient with diabetic renal failure and neurogenic bladder.