Clinical Analysis of Diabetes Mellitus and Emphysematous Pyelonephritis Misdiagnosed as Acute Pyelonephritis
HE Guo-zhen
MAO Hui-fen
ZHANG An-xing
Abstract：Objective To investigate the clinical diagnostic characteristics and the differential diagnosis of emphyse-matous pyelonephritis ( EPN) , to prevent misdiagnosis. Methods The clinical data of one case of EPN were retrospectively analyzed with review of the literature. Results In this example, lumbar pain and high fever were recorded as the first signs of symptom, and the patient was diagnosed as having acute pyelonephritis. Anti-infection treatment was invalid before admission to our hospital. The monitoring of blood sugar, urine ketone bodies and bilateral renal CT examination indicated diabetic keto-acidosis and EPN. As anti-infection, measures of control of blood glucose, corrected ketoacidosis and symptomatic and sup-portive treatment were applied and at the same time ultrasound guided percutaneous renal puncture and catheter drainage were undertaken. The symptoms were alleviated one day later. 8 days later, CT examination revealed that kidney product gas effu-sion had disappeared. 11 days later, urinalysis and renal function returned to normal. Conclusion EPN is an acute and rare illness, which is often misdiagnosed. To strengthen understanding of CT imaging and improve awareness of EPN may help to make early diagnosis and treatment.
Keywords：Emphysematous PyelonephritisMisdiagnosisAcute PyelonephritisTomographyX-Ray Computed
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 52-54 )