Korean J Urogenit Tract Infect Inflamm.  2014 Apr;9(1):50-52. 10.14777/kjutii.2014.9.1.50.

Altered Mentality Patient with Emphysematous Pyelonephritis Disclosed by Abdominal Computed Tomography

Affiliations
  • 1Department of Emergency Medicine, Inha University College of Medicine, Incheon, Korea.
  • 2Department of Laboratory Medicine, Inha University College of Medicine, Incheon, Korea. moonys@inha.ac.kr

Abstract

Emphysematous pyelonephritis is an acute gas forming necrotizing infection of the renal parenchyma with high mortality, which shows non-specific clinical findings. Elderly patients with altered mentality and shock require careful monitoring and abdominal computed tomography scanning is thought to be beneficial in prompt detection of infection focus and management. We report on a patient with altered mentality who showed emphysematous pyelonephritis on abdominal computed tomography and provide a review of the literature.

Keyword

Pyelonephritis; Emphysema; Diagnosis; Tomography scanners, x-ray computed

MeSH Terms

Aged
Diagnosis
Emphysema
Humans
Mortality
Pyelonephritis*
Shock
Tomography Scanners, X-Ray Computed

Figure

  • Fig. 1. Chest computed tomography shows an air space consolidation in the bilateral lower lobe of dependant portion.

  • Fig. 2. Abdominal computed tomography shows parenchymal destruction and air replacement in the left kidney, air density in the left ureter.


Reference

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