Korean J Nephrol.  2004 May;23(3):492-495.

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

• Cho YK
• Lee WC
• Kim KH
• Cha JM
• Park SY
• Kang HG
• Lee HJ

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.

Keyword

Emphysematous pyelonephritis; Ureteritis; Cystitis; Neurogenic bladder; Diabetes mellitus

MeSH Terms

Adult
Bacteria
Bacterial Infections
Cystitis*
Diabetes Mellitus
Female
Fermentation
Glucose
Gram-Negative Bacteria
Humans
Kidney
Korea
Pyelonephritis*
Renal Insufficiency
Ureter*
Urinary Bladder
Urinary Bladder, Neurogenic*
Urinary Tract
Glucose