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KMID : 0882420160910020202
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Korean Journal of Medicine
2016 Volume.91 No. 2 p.202 ~ p.205
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Asymptomatic Emphysematous Pyelonephritis Incidentally Detected with Computed Tomography in a Diabetic Hemodialysis Patient
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Kim Ju-Hee
Kim Woo-Jung
Kim In-Soo
Kang Hee-Jun
Won Yoo-Dong
Kim Young-Ok
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Abstract
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Emphysematous pyelonephritis (EPN) is a necrotizing infection of the kidney with gas formation that can be fatal if it is not detected and treated promptly. Typical manifestations are high fever, flank pain, and shock. It typically occurs in patients with diabetes and, although rarely reported, in hemodialysis (HD) patients with or without diabetes. Furthermore, asymptomatic EPN has not yet been reported in HD patients. Here, we report a case of asymptomatic EPN in a diabetic HD patient incidentally detected with follow-up abdominal computed tomography after resection of colon cancer.
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KEYWORD
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Asymptomatic infections, Emphysematous pyelonephritis, Renal dialysis, Diabetes mellitus
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