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KMID : 0359919930120040686
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Korean Journal of Nephrology
1993 Volume.12 No. 4 p.686 ~ p.689
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A Case Report of Emphysematous Pyelonephritis Associated with Renal Adnoma in Diabetic Patient
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고경식
안재형/이태원/임천규/김명재/장성구
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Abstract
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Emphysematous pyelonephritis is an uncommon infection of the kidney associated with parenchymal necrosis and spontaneous gas generaiton. Most cases occur in diabetic patients and rarely in urinary tract obstruction, stone or tumor.
We report a case of emphysematous pyelonephritis in 40 years-old diabetic female. She had fever, chill, and right flank pain 5 days in duration. Acute respiratory failure and septic shock was developed on admission.
Intensive medical therapy was started, and nephrectomy was done on hospital day 10 recovery from septic shock and acute respirratroy failure. Single renal adenoma about 2 cm-sized was noted. E. coli was found in blood and urine culture.
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