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복막투석중인 당뇨병 환자에서 발생한 양측성 기종성 신우염
정연오 ( Yeon Oh Jeong ),전상훈 ( Sang Hoon Chun ),유지연 ( Ji Yoen Yu ),원강연 ( Kang Yeon Won ),이상주 ( Sang Ju Lee ),장윤경 ( Yoon Kyung Chang ),이연수 ( Yeon Su Lee ),김석영 ( Suk Young Kim ) 대한신장학회 2009 Kidney Research and Clinical Practice Vol.28 No.1
Emphysematous pyelitis is uniquely characterized by gas-forming infection restricted to the renal collecting system. This disease entity is uncommon, and shows preferred occurrence in patients with diabetes mellitus or urinary tract obstruction. We report a case of bilateral emphysematous pyelitis in a diabetic end-stage renal disease patient undergoing peritoneal dialysis therapy. The patient was treated by medical treatment only and then recovered from infection, and she has maintained peritoneal dialysis until today. The authors report this case as a successful medical treatment for emphysematous pyelitis accompanying multiple risk factors, such as diabetes mellitus, amorphous medullary kidney stones, and even underlying maintaining peritoneal dialysis.