氣腫性腎盂腎炎：於急診快速診斷

氣腫性腎盂腎炎是一種造成腎臟內或腎臟周圍氣體形成的嚴重感染，此類病患通常伴隨糖尿病且合併高死亡率。我們提出一位因畏寒、發燒及左腰痛三日而至急診求治之糖尿病患者，由腹部X光片及急診超音波確定為氣腫性腎盂腎炎。該病患接受適當的內科治療及腎臟切除手術後順利出院。急診醫師診視糖尿病息者罹患腎盂腎炎合併敗血症時，應將氣腫性腎盂腎炎列入鑑別診斷，安排腹部X光片及超音波檢查，以便早期診斷並給予適當的治療。

關鍵字

氣腫性腎盂腎炎；糖尿病；腹部X光片；超音波

並列摘要

Emphysematous pyelonephritis is a rare and severe suppurative infection of the renal parenchyma and the pen renal tissue that is characterized by gas formation within or around the kidney. The disease usually occurs in diabetic patients and has a high mortality rate. We report a diabetic patient who suffered from chills, fever and left flank pain for 3 days. A plain abdominal radiograph and an ultrasonograph allowed the diagnosis of emphysematous pyelonephritis. She recovered well after adequate medical treatment combined with nephrectomy. The initial investigation of diabetic patients with pyelonephritis and sepsis should include a plain abdominal radiograph together with ultrasonography.

並列關鍵字

emphysematous pyelonephritis ； diabetes mellitus ； plain abdominal radiograph ； ultrasonography

延伸閱讀

Kuo, W. R., Chen, M. T., Liu, G. C., Huang, C. N., Huang, C. L., & Huang, C. H. (1999). 氣腫性腎盂腎炎之影像學診斷及追蹤. The Kaohsiung Journal of Medical Sciences, 15(3), 159-170. https://doi.org/10.6452/KJMS.199903.0159
Chang, P. C., Liu, C. T., Kuo, Y. C., & Tsai, T. C. (1998). 急性腎盂腎炎併發急性腎衰竭病例報告. 中華民國泌尿科醫學會雜誌, 9(4), 208-210. https://doi.org/10.7024/JUAROC.199812.0208
林千郁、高啟蘭、楊垂勳、彭聖曾、黃婉翠（2018）。Propylthiouracil相關之快速進行性腎絲球腎炎：案例報告與文獻回顧。臺灣臨床藥學雜誌，26(3)，241-249。https://doi.org/10.6168/FJCP.201807_26(3).0010
姜文智、朱宗信（1999）。腎臟科：快速進行性腎絲球腎炎。台灣醫學，3(2)，242-249。https://doi.org/10.6320/FJM.1999.3(2).16
Lin, W. C., Chen, Y. F., Lin, C. H., Ho, Y. J., Tzeng, Y. H., Chiang, H. J., Chang, C. H., Cheng, Y. C., Shen, W. C., & Chen, J. H. (2009). Reappraisal of the Management and Outcome of Emphysematous Pyelonephritis. The Kaohsiung Journal of Medical Sciences, 25(1), 16-24. https://www.airitilibrary.com/Article/Detail?DocID=1607551X-200901-25-1-16-24-a

國際替代計量

氣腫性腎盂腎炎：於急診快速診斷

全文下載

主題瀏覽