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| 신선종을 동반하고 있는 당뇨병 환자에서 발생한 기종성 신우신염 1예 |
| 고경식 , 안재형 , 이태원 , 임천규 , 김명재 , 장성구 |
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| Abstract |
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Emphysematous pyelonephritis is an uncommon infec- tion of the kidney associated with parenchymal necrosis and spontaneous gas generation. Most cases occur in diabetic patients and rarely in urinary tract obstruction, stone or tumor, We report a case of emphysematous pyelonephritis in 40 years-old diabetic female. She had fever, chill, and right flank pain 5 days in duration. Acute respiratory failure and septic shock was developed on admission. Intensive medical therapy was started, and nephrectomy was done on hospital day 10 after recovery from septic shock and acute respiratory failure. Single renal adenoma about 2 cm-sized was noted. E. coli was found in blood and urine culture. |
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