To learn the clinical history,
symptoms and medical signs of pyelonephritis emphysematous. To analize the radiological characteristics of each image modality and describe in the report,
each important imaging findings for the clinician. To classify each degree and stage of the infection and recommend the treatment
In recent years,
it has increased chronically ill patients,
for example patients with diabetes and immunocompromised.
This situation has caused kidney infections more common.
Emphysematous pyelonephritis is a disease with a high mortality rate,
so it is important that the radiologist has the necessary knowledge to identify,
classify and report it.
Findings and procedure details
Teaching points Emphysematous pyelonephritis is a life-threating necrotizing infection of the kidneys characterized by gas formation within or surrounding the kidneys.
The majority of patients are diabetes,
immunocompromised. The pathogenesis of Emphysematous pyelonephritis generally accepted theory proposes that high levels of glucose provide a favorable environment for acidic fermentation of gas-forming microbial organisms.
The organisms are characteristically gas-forming.
hypertension and immunocompromised patients that presenting fever,
is consistent with Emphysematous pyelonephritis. Computed tomography is gold standard on imaging diagnostics for Emphysematous pyelonephritis. Classify for computed tomography,
type and class for proper treatment.
Pyelonephritis: radiologic-pathologic review.
28 (1):255-277 Woodward S.
Imaging of emphysematous pyelonephritis: self-assessment module.
AJR Am J Roentgenol.
2010; 194 (6); S70-2 Wan YL,
Acute gas- producing bacterial renal infection: correlation between imaging findings and clinical outcome.
198 (2):433-8 Amana L,
AJR Teaching file: Diabetic patient...