| Emphysematous pyelonephritis presenting as necrotizing fasciitis of the leg. | |
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MedLine Citation:
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PMID: 19299226 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a 50-year-old man with poorly controlled diabetes mellitus who presented with a painful, swollen right leg. He had also experienced right flank pain for 1 week prior to admission. Physical examination was notable for tenderness over the right flank. The right leg was diffusely swollen and exquisitely tender to touch, with palpable crepitance. Laboratory tests revealed leukocytosis and pyuria. Computed tomography showed a right ureteral stone with hydronephrosis and characteristic findings of emphysematous pyelonephritis. Furthermore, a right perirenal gas-forming abscess with extension to the right leg was noted. The patient was successfully treated with antibiotic therapy, aggressive control of blood sugar, percutaneous drainage of the hydronephrosis and perirenal abscess, and aggressive debridement of the leg. |
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Authors:
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Yu-Xiong Ye; Yao-Ko Wen |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of the Chinese Medical Association : JCMA Volume: 72 ISSN: 1726-4901 ISO Abbreviation: J Chin Med Assoc Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-20 Completed Date: 2009-07-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101174817 Medline TA: J Chin Med Assoc Country: China (Republic : 1949- ) |
Other Details:
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Languages: eng Pagination: 160-2 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan, Republic of China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Emphysema
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complications* Fasciitis, Necrotizing / etiology* Humans Leg* Male Middle Aged Pyelonephritis / complications* |
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