Medical Tedavi ile Düzelen Amfizematöz Piyelonefrit Olgusu

Year 2022, Volume: 15 Issue: 1, 80 - 83, 30.04.2022

Mehmet Çelik , Ali Ayrancı , Serdar Gök

https://doi.org/10.52976/vansaglik.962625

Abstract

Amfızematoz pyelonefrit renal parankim ve onu çevreleyen dokuların nekrotizan infeksiyonu olup, renal parankim, kollektor sistem veya perinefritik dokuda gaz formasyonu ile karakterizedir. Olguların %90’ında predispozan faktör diyabetes mellitustur. Bu çalışmada, üriner sistem enfeskiyonu ön tanısıyla takip edilen, yapılan tetkikler sonucunda amfızematoz pyelonefrit tanısı konan ve cerrahi gereksinim olmadan antibiyoterapi ile düzelen bir olgu sunulması amaçlandı.

Keywords

Amfizematöz piyelonefrit, Piyelonefrit, Diabetes mellitus

A Case of Emphysematous Pyelonephritis Improved with Medical Treatment

Abstract

Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma and surrounding tissues and is characterized by gas formation in the renal parenchyma, collector system, or perinephric tissue. Diabetes mellitus is a predisposing factor in 90% of cases. In this study, it was aimed to present a case who was followed up with a preliminary diagnosis of urinary system infection, was diagnosed with emphysematous pyelonephritis as a result of the tests performed, and recovered with antibiotherapy without the need for surgery.

Keywords

Emphysematous pyelonephritis, Pyelonephritis, Diabetes mellitus

References

• 1.Klein FA, Smith MJ, Vick CW, et al: Emphysematous pyelonephritis. S Med J.1986;79:41-46.
• 2. Kelly HA, MacCallum WG. Pneumaturia. J.A.M.A.1898;31:375.
• 3.Karslı O. Emphysematous pyelitis. Cukurova Med J.2016;41(Suppl 1):59-6. DOI: 10.17826/cutf.254614
• 4. Mohsin N, Budruddin M, Lala S, Al-Taie S. Emphysematous pyelonephritis: a case report series of four patients with review of literature. Ren Fail.2009;31(7):597-601.
• 5. Reşorlu M, Reşorlu B, Yeşil M. Amfizematöz pyelonefrit. Ankara Üniversitesi Tıp Fakültesi Mecmuası.2006; 59:158-160.
• 6. Huang JJ, Tseng CC. Emphysematous pyelonephritis clinico radiological classification, management, prognosis and pathogenesis. Arch Intern Med.2000;27:797-805.
• 7. Ergün U, Ürk A, Erdem F, Bülbül E, Yekdeş Ac. Emphysematous Pyelonephritis Treated with Only Parenteral Antimicrobial Therapy. KSU Medical Journal. 2020;15(1) : 47-51.
• 8. Sharma PK, Sharma R, Vijay MK, Tiwari P, Goel A, Kundu AK. Emphysematous pyelonephritis: Our experience with conservative management in 14 cases. Urol Ann. 2013;5(3):157-162. doi:10.4103/0974-7796.115734.
• 9. Wan YL, Lee TU, Bullard MJ, Tsai CC. Acute gas producing bacterial renal infection: correlation between imaging findings and clinical outcome. Radiology.1996;198:433‑8.
• 10. Balagobi B, Nitharsanan M, Thanusan V. Emphysematous pyelonephritis. Jaffna Medical Journal. 2020;32(2):6–10. DOI: http://doi.org/10.4038/jmj.v32i2.101