Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
| Autor: | Ki Wook Kwon, Yoo Dong Won, Young Ok Kim, Ji Won Min, Yu Mi Ko, Jeong Uk Lim, Soon Kyu Lee, Yeong Bok Lee, Hye Won Lee |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Disseminated intravascular coagulation
Emphysema medicine.medical_specialty lcsh:Internal medicine Hematoma Percutaneous lcsh:Specialties of internal medicine Pyelonephritis medicine.drug_class business.industry Septic shock Urology Urinary system Antibiotics Case Report medicine.disease Surgery Nephrology Emphysematous pyelonephritis lcsh:RC581-951 medicine Complication business lcsh:RC31-1245 |
| Zdroj: | Kidney Research and Clinical Practice Kidney Research and Clinical Practice, Vol 33, Iss 3, Pp 150-153 (2014) |
| ISSN: | 2211-9140 2211-9132 |
| Popis: | Emphysematous pyelonephritis (EPN) is a life-threatening infection characterized by the formation of gas. Complications of EPN include septic shock, acute renal failure, and disseminated intravascular coagulation. Spontaneous subcapsular hematoma (SCH) has also been reported as a rare complication of EPN, although there have been no reports to date of this occurring prior to the presentation of EPN. We report a case of EPN that initially presented as spontaneous SCH. The patient was admitted for left flank pain, and initial computed tomography revealed SCH without any air shadows. Laboratory findings and clinical symptoms suggested the presence of urinary tract infection and the patient was started on antibiotics. Fever developed 24 hours after admission. On follow-up computed tomography 7 days later, EPN was newly observed, and a percutaneous drain was inserted. Blood, urine, and drainage fluid cultures all revealed growth of extended-spectrum β-lactamase-negative Escherichia coli. |
| Databáze: | OpenAIRE |
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