| A Case of Bilateral Emphysematous Pyelitis in a Diabetic End-stage Renal Disease Patient Undergoing Peritoneal Dialysis Therapy |
| Yeon Oh Jeong, M.D.1, Sang Hoon Chun, M.D.1, Ji Yoen Yu, M.D.1, Kang Yeon Won, M.D.1, Sang Ju Lee, M.D.1, Yoon Kyung Chang, M.D.1, Yeon-Su Lee2 and Suk Young Kim, M.D.1 |
Department of Internal Medicine1
Department of Diagnostic Radiology2 College of medicine, The Catholic University of Korea, Seoul, Korea |
| 증례 : 복막투석중인 당뇨병 환자에서 발생한 양측성 기종성 신우염 1예 |
| 정연오1, 전상훈1, 유지연1, 원강연1, 이상주1, 장윤경1, 이연수2, 김석영1 |
| 가톨릭대학교 의과대학 내과학교실1, 진단방사선학교실2 |
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| Abstract |
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Emphysematous pyelitis is uniquely characterized by gas-forming infection restricted to the renal collecting system. This disease entity is uncommon, and shows preferred occurrence in patients with diabetes mellitus or urinary tract obstruction. We report a case of bilateral emphysematous pyelitis in a diabetic end-stage renal disease patient undergoing peritoneal dialysis therapy. The patient was treated by medical treatment only and then recovered from infection, and she has maintained peritoneal dialysis until today. The authors report this case as a successful medical treatment for emphysematous pyelitis accompanying multiple risk factors, such as diabetes mellitus, amorphous medullary kidney stones, and even underlying maintaining peritoneal dialysis. |
| Key Words:
Emphysematous pyelitis, Diabetes mellitus, Peritoneal dialysis |
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