• 제목/요약/키워드: emphysematous pyelonephritis

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당뇨병 환자에서 발생한 기종성 신우신염 1례 (Emphysematous Pyelonephritis: A Case Report and Review of the Literature)

  • 윤현대;원규장;이찬우;조인호;이형우;윤경우;이헌주;이현우;조철규;김영수
    • Journal of Yeungnam Medical Science
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    • 제10권2호
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    • pp.537-543
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    • 1993
  • 저자들은 당뇨병 환자에서 발생한 기종성 신우신염을 내과적 치료와 응급 신적출술로 성공적으로 치험하였기에 문헌고찰과 함께 보고하는 바이다.

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Imaging Diagnosis of Emphysematous Pyelonephritis in a Non-Diabetic Dog

  • Kim, Heesu;Lee, Kija;Chung, Jinyoung;Ahn, Jinok;Park, Inchul;Choi, Sooyoung
    • 한국임상수의학회지
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    • 제37권4호
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    • pp.231-234
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    • 2020
  • An 11-year-old, 4.3 kg, mixed breed, intact female dog exhibiting vomiting and a reduced appetite was presented. On physical examination, palpation of the right kidney elicited discomfort. Blood analysis revealed leukocytosis with neutrophilia, and elevation of alkaline phosphatase and blood urea nitrogen. Escherichia coli was detected in urine culture, whereas urine analysis showed absence of glucose. Radiography and ultrasonography suggested that there was gas in the right renal parenchyma, and computed tomography was performed while the dog was awake to investigate the suspected gas in the right kidney. After unilateral ureteronephrectomy, a histological diagnosis of right emphysematous pyelonephritis (EPN) was made. EPN refers to a severe necrotizing infection of the renal parenchyma with gas accumulation in the tissue. It is rare in both human and veterinary medicine, and almost all EPN patients have uncontrolled diabetes mellitus. This case report describes the imaging-based diagnosis of a rare occurrence of unilateral EPN in a non-diabetic dog.

Emphysematous pyelonephritis associated with calcium oxalate uroliths detected on computed tomography in an awake dog

  • Kwak, Ho-Hyun;Hussein, Kamal Hany;Woo, Heung-Myong;Park, Kyung-Mee
    • 대한수의학회지
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    • 제60권2호
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    • pp.93-96
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    • 2020
  • An 11-year-old female mixed-breed dog admitted due to anorexia and vomiting. Radiography showed 7.6-mm uroliths in the right proximal ureter and an enlarged kidney. Type 1 emphysematous pyelonephritis (EPN) was diagnosed using computed tomography (CT) in the awake dog. Right ureteronephrectomy was performed, and Escherichia coli was isolated. The stone was consisted of 80% calcium oxalate. At the 6-month follow-up, no complications were observed. This is the first report of EPN caused by calcium oxalate in a dog. In addition, we suggest performing CT in weak animals to diagnose EPN without anesthesia.