Amfizematöz piyelonefrit (olgu sunumu)
Amfizematöz piyelonefrit böbreğin hayatı tehdit eden akut süpüratif bir enfeksiyonu olup renal parankim, toplayıcı sistem ve perinefrik dokuda gaz üretimi ile karakterizedir. Olguların çoğu kontrol edilmemiş diyabetes mellitus, obstrüktif üropati ve gaz oluşturan organizmaların süperenfeksiyonu nedeni ile ortaya çıkar. Bu olgu sunumunda diyabetes mellitus tanısı olan ve amfizematöz piyelonefrite bağlı sepsis kliniği ile yoğun bakım ünitemizde izlenen bir hasta anlatılmaktadır.
Emphysematous pyelonephritis (case report)
Emphysematous pyelonephritis is a rare but life threatening acute suppurative infection of the kidney, which is characterized by gas production in the renal parenchyma, collector system and perinephric tissues. Most of the cases are results of uncontrolled diabetes mellitus, obstructive uropathy and superinfection of gas performing organisms. This case report presents a diabetic patient who was observed in the intensive care unit following diagnosis of sepsis due to emphysematous pyelonephritis.
___
- 1.Kaiser E, Fournier R. Emphysematous pyelonephritis: diagnosis and treatment. Ann Urol 2005; 39: 49-60.
- 2.Ahmad M, Dakshinamurty KV. Emphysematous renal tract disease due to Aspergillus fumigatus. J Assoc Physicians India 2004; 52: 495-7.
- 3.Wang YC, Wang JM, Chow YC, Chiu AW, Yang S. Pneumomedi- astinum and subcutaneous emphysema as the manifestation of emphysematous pyelonephritis. Int J Urol 2004; 11: 909-11.
- 4.Paparel P, Cognet F, Cercuil JP, Krause D, Michel F. Management of the emphysematous pyelonephritis. Ann Med Interna 2003; 154: 259-62.
- 5.Shokeir AA, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis: a 15-year experience with 20 cases. Urology 1997; 49: 343-6.
- 6.Kondo T, Okuda H, Suzuki M, Okumura T, Toma H. A case of emphysematous pyelonephritis improved with conservative the rapy-indication for conservative therapy. Hinyokika Kiyo 2000; 46:335-8.
- 7.Tahir H, Thomas G, Sheerin N, Bettington H, Pattison JM, Golds mith DJ. Successful medical treatment of acute bilateral emphyse matous pyelonephritis. Am J Kidney Dis 2000; 36: 1267-70.
- 8.Zarraga FL, Aisa P, de Ormijana JS. Fulminant infection with emphysematous changes in the biliary tract and air-filled liver abscesses. Abdom Imaging 2006; 31:90-3.
- 9.Liao HW, Chen TH, Lin KH ve ark. Emphysematous pyelonephritis caused by Bacteroides fragilis. Nephrol Dial Transplant 2005; 20: 2575-7.
- 10.Kamaliah MD, Bhajan MA, Dzarr GA. Emphysematous pyelonephritis caused by Candida infection. Southest Asian J Trop Med Public Health 2005; 36: 725-7.
- 11.Benchekroun A, Ghadouane M, Alami M, Nouini Y, Marzouk M, Faik M. Emphysematous pyelonephritis in lithiasic kidney caused by acinetobacter. Prog Urol 2000; 10: 89-91.
- 12.Hazouard E, Barat D, Lanotte P ve ark. Emphysematous pyelonephritis related to specific gas-forming Escherichia coli without diyabetes mellitus. Intensive Care Med 1999; 25: 628-30.
- 13.Guvel S, Kiline F, Kayaselcuk F, Tuncer I, Ozkardes H. Emphysematous pyelonephritis and renal amoebiasis in a patient with diyabetes mellitus. Int J Urol 2003; 10: 404-6.
- 14.Tang HJ, Li CM, Yen MY ve ark. Clinical characteristics of emphysematous pyelonephritis. J Microbiol Immunol Infect 2001; 34: 125-30.
- 15.Jain SK, Agarwal N, Chaturvedi SK. Emphysematous pyelonephritis: a rare presentation. J Postgrad Med 2000; 46: 31-2.