J Korean Geriatr Soc.  2000 Sep;4(3):199-203.

A Case of Emphysematous Pyelonephritis with Emphysematous Cystitis

• Kim SD
• Kim SJ
• Lee KD
• Kim JS
• Kim CH
• Yun HS
• Song JO

Abstract

A 68 year old male with diabetes mellitus visited our hospital due to general weakness and abdominal pain. Patient was in severe septic condition, abdominal X-ray and CT revealed gas shadow on left kidney and bladder. E-coli grew on urine culture. Thus we were able to diagnose the patient as the emphysematous pyelonephritis with emphysematous cystitis. The patient was treated with antibiotics and bilateral bladder catheter drainage. However the patient expired due to severe sepsis. Although the emphysematous pyelonephritis and emphysematous cystitis are rare disease, they result in life threatening complication in diabetic patients. Because of rarity of these diseases, the clinical and radiological classifications, the treatment and the progress are not established. These two diseases have the same causes such as diabetes mellitus or urinary tract obstruction and can be expanded due to anatomical relationships resulting in increased mortality. The authors report 68 year old male diabetic patient with emphysematous pyelonephritis with emphysematous cystitis with literature review.

Keyword

Emphysematous pyelonephritis; Emphysematous cystitis

MeSH Terms

Abdominal Pain
Aged
Anti-Bacterial Agents
Catheters
Classification
Cystitis*
Diabetes Mellitus
Drainage
Humans
Kidney
Male
Mortality
Pyelonephritis*
Rare Diseases
Sepsis
Urinary Bladder
Urinary Tract
Anti-Bacterial Agents