Failure of sonography to visualize a kidney affected by emphysematous pyelonephritis

Autor: Anis A Rauf, Almothana Shanaah, Amit Joshi, Subhash Popli, Mohammad Vaseemuddin, Todd S Ing
Jazyk: angličtina
Rok vydání: 2007
Předmět:
Zdroj: Indian Journal of Urology, Vol 23, Iss 2, Pp 200-202 (2007)
Druh dokumentu: article
ISSN: 0970-1591
1998-3824
DOI: 10.4103/0970-1591.32077
Popis: We describe a diabetic patient who presented with acute renal failure as a result of acute bilateral emphysematous pyelonephritis. Initially, both an abdominal X-ray examination and a renal sonogram were unremarkable. Two days later, however, the previously visualized right kidney could not be demonstrated again by a repeat renal sonogram. A computed tomogram and a repeat abdominal X-ray study confirmed the diagnosis of emphysematous pyelonephritis. To our knowledge this is one of the few described cases of emphysematous pyelonephritis distinguished by a sonogram′s inability to visualize a kidney because of interference with imaging by the gas produced by the bacteria that are responsible for the pyelonephritic infection.
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