Korean J Nephrol.  2009 Jan;28(1):67-72.

A Case of Bilateral Emphysematous Pyelitis in a Diabetic End-stage Renal Disease Patient Undergoing Peritoneal Dialysis Therapy

Affiliations
  • 1Department of Internal Medicine, College of medicine, The Catholic University of Korea, Seoul, Korea. racer@catholic.ac.kr
  • 2Department of Diagnostic Radiology, College of medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

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.

Keyword

Emphysematous pyelitis; Diabetes mellitus; Peritoneal dialysis

MeSH Terms

Diabetes Mellitus
Humans
Kidney Calculi
Kidney Failure, Chronic
Peritoneal Dialysis
Pyelitis
Risk Factors
Urinary Tract
Full Text Links
  • KJN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr