Journal List > Korean J Urogenit Tract Infect Inflamm > v.9(1) > 1059949

Han, Paik, Jung, Kim, and Moon: Altered Mentality Patient with Emphysematous Pyelonephritis Disclosed by Abdominal Computed Tomography

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.

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Fig. 1.
Chest computed tomography shows an air space consolidation in the bilateral lower lobe of dependant portion.
kjutii-9-50f1.tif
Fig. 2.
Abdominal computed tomography shows parenchymal destruction and air replacement in the left kidney, air density in the left ureter.
kjutii-9-50f2.tif
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