Emphysematous Pyelonephritis in a Horseshoe kidney.
Autor: | Ochoa-Arvizo MA; Urology Department, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Montelongo-Rodríguez FA; Urology Department, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Robles-Torres JI; Urology Department, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México. Electronic address: ivan.robles25@live.com., Ruíz-Galindo E; Urology Department, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Guerra-Castañón CD; Urology Department, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México., Arrambide-Gutiérrez G; Urology Department, Hospital Universitario 'Dr. José Eleuterio González', Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México. |
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Jazyk: | angličtina |
Zdroj: | Urology [Urology] 2020 Oct; Vol. 144, pp. 15-16. Date of Electronic Publication: 2020 Jul 25. |
DOI: | 10.1016/j.urology.2020.07.020 |
Abstrakt: | Emphysematous pyelonephritis is a necrotizing renal infection that results in the presence of gas in renal parenchyma, collecting system, and surrounding tissues. Ninety-five percent of the patients have underlying uncontrolled diabetes mellitus, but non-diabetic patients may be affected due to ureteral obstruction and infection with gas forming pathogens. Several poor prognostic factors have been described, such as thrombocytopenia, acute kidney failure, impaired consciousness, and shock. We present a case of a 41-year-old female who attends to the emergency department with signs of septic shock and diffuse abdominal pain. The diagnosis of emphysematous pyelonephritis in a horseshoe kidney was confirmed. (Copyright © 2020 Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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