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产生气体的嗜氧杆菌(通常是大肠杆菌)引起的气肿性肾盂肾炎是肾脏感染中威胁生命的一种并发症,多见于糖尿病患者,常伴有尿路梗阻。文献已报导的约40例中,伴有糖尿病和尿路梗阻者各约占60%和20%,其中约有40%死亡。发生于这种感染的肾脏气肿为葡萄糖发酵产生的二氧化碳和氢气所致。作者报告一例少见的气肿性肾孟肾炎,发生于无糖尿病的成人型多囊肾忠者。病人因发热寒战、左腹钝痛而入院。检查腹部胀气,二侧腹肿块,腹部有捻发音,化验见白血球总数升高,尿蛋白+++,并有红、白血球、尿糖阴性,空腹血糖正常;血、尿培养大肠杆菌阳性。胸片示左侧胸腔积液,腹部平
Pyretic pyelonephritis (usually E. coli) that causes gas production is a life-threatening complication of renal infection that is more common in people with diabetes and is often accompanied by urinary tract obstruction. About 40 cases reported in the literature account for about 60% and 20% of patients with diabetes and urinary tract obstruction, respectively, about 40% of them died. Kidney emphysema occurring in this infection is caused by carbon dioxide and hydrogen produced by glucose fermentation. The authors report a rare case of emphysematous nephritis that occurs in adults without polycystic kidney disease. Patient fever due to fever, left dull pain and admission. Check the belly flatulence, abdominal flaps on both sides of the abdomen with a twist pronunciation, the total number of white blood cells showed elevated urine protein + + +, and red, white blood cells, urine negative, normal fasting blood glucose; blood, urine culture E. coli positive. Chest X-ray showed left pleural effusion, abdomen flat