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복부 Computed Tomography 촬영을 통해 기종성 신우신염으로 발견된 의식 변화 환자

Altered Mentality Patient with Emphysematous Pyelonephritis Disclosed by Abdominal Computed Tomography

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초록

Emphysematous pyelonephritis is an acute gas forming necrotizing infection of the renal parenchyma with high mortality, which shows non-specific clinical findings. Elderly patients with altered mentality and shock require careful monitoring and abdominal computed tomography scanning is thought to be beneficial in prompt detection of infection focus and management. We report on a patient with altered mentality who showed emphysematous pyelonephritis on abdominal computed tomography and provide a review of the literature.

Abstract

Emphysematous pyelonephritis is an acute gas forming necrotizing infection of the renal parenchyma with high mortality, which shows non-specific clinical findings. Elderly patients with altered mentality and shock require careful monitoring and abdominal computed tomography scanning is thought to be beneficial in prompt detection of infection focus and management. We report on a patient with altered mentality who showed emphysematous pyelonephritis on abdominal computed tomography and provide a review of the literature.

참고문헌 (8)

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  2. Chen MT, "Percutaneous drainage in the treatment of emphysematous pyelonephritis : 10-year experience", J Urol, 157, pp.1569~1573 (1997)
  3. Rivers E, "Early goal-directed therapy in the treatment of severe sepsis and septic shock", N Engl J Med, 345, pp.1368~1377 (2001)
  4. McDermid KP, "Emphysematous pyelonephritis : case report and review of the literature", Diabetes Res Clin Pract, 44, pp.71~75 (1999)
  5. Shokeir AA, "Emphysematous pyelonephritis : a 15-year experience with 20 cases", Urology, 49, pp.343~346 (1997)
  6. Huang JJ, "Emphysematous pyelonephritis : clinicoradiological classification, management, prognosis, and pathogenesis", Arch Intern Med, 160, pp.797~805 (2000)
  7. Wan YL, "Acute gas-producing bacterial renal infection : correlation between imaging findings and clinical outcome", Radiology, 198, pp.433~438 (1996)
  8. Pontin AR, "Current management of emphysematous pyelonephritis", Nat Rev Urol, 6, pp.272~279 (2009)

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