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증례 : 신장 ; 당뇨병성 신증 환자에서 발생한 기종성 신우신염과 방광염의 치료 1예
이동욱 ( Tong Wook Lee ),유정현 ( Jung Hyun You ),김용섭 ( Yong Sub Kim ) 대한내과학회 2009 대한내과학회지 Vol.77 No.5S
저자들은 요로폐색이 동반되지 않은 당뇨병성 신증환자에서 방광 및 신장에 동시에 발생한 기종성 요로감염 1예를 초기에 복부 단층촬영을 이용해 조기 진단하고 외과적 처치 없이 항생제 투약만으로 치료하였기에 문헌고찰과 함께 보고하는 바이다. In the past, increased mortality from emphysematous pyelonephritis in diabetic patients has occurred, and disease treatment was based on surgical intervention. But newly developed antibiotics and radiographic techniques make early diagnosis and treatment much more effective without surgical treatment. At present, mortality and complications from emphysematous pyelonephritis in diabetic patients have decreased as a consequence of such developments. We report a case of emphysematous pyelonephritis and cystitis that occurred simultaneously in a diabetic patient, without urinary tract obstruction, who was cured with only medical treatment, and without surgical intervention. (Korean J Med 77:S1241-S1245, 2009)