Altered Mentality Patient with Emphysematous Pyelonephritis Disclosed by Abdominal Computed Tomography

Seung Baik Han; Jin Hui Paik; Hyun Min Jung; Ji Hye Kim; Yeon Sook Moon

doi:10.14777/kjutii.2014.9.1.50

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

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

Case Report

Korean J Urogenit Tract Infect Inflamm 2014;9(1):50-52.

Published online: 17 April 2014

DOI: https://doi.org/10.14777/kjutii.2014.9.1.50

Altered Mentality Patient with Emphysematous Pyelonephritis Disclosed by Abdominal Computed Tomography

Seung Baik Han, Jin Hui Paik, Hyun Min Jung, Ji Hye Kim, Yeon Sook Moon^1,

Department of Emergency Medicine, Inha University College of Medicine, Incheon, Korea

¹Department of Laboratory Medicine, Inha University College of Medicine, Incheon, Korea

Correspondence to: Yeon Sook Moon Department of Laboratory Medicine, Inha University Hospital, 27, Inhang-ro, Jung-gu, Incheon, Korea Tel: +82-32-890-2304, Fax: +82-32-890-2307 E-mail: moonys@inha.ac.kr

Received 13 December 20137 January 2014 Accepted 7 January 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Pyelonephritis, Emphysema, Diagnosis, Tomography scanners, x-ray computed

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Fig. 1.

Chest computed tomography shows an air space consolidation in the bilateral lower lobe of dependant portion.

Fig. 2.

Abdominal computed tomography shows parenchymal destruction and air replacement in the left kidney, air density in the left ureter.

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