양측성 기종성 신우신염이 동반된 기종성 방광염 1 예 = A Case of Simultaneous Bilateral Emphysematous Pyelonephritis and Cystitis

다국어 초록 (Multilingual Abstract)

Since the first clinical observation by Kelly and MacCallum, gas-forming infection of the urinary tract has been extensively studied. It is characterized by gas production within the urinary tract. The gas may often pass outside the urinary tract. Patients with this disorder invariably have uncontrolled diabetes mellitus and possibly associated obstructive uropathy. It is usually caused by aerobic bacteria, most commonly Escherichia coli. In the literature, the majority of cases were emphysematous pyelonephritis alone or emphysematous cystitis separately. Bilateral renal involvement associated with emphysematous cystitis is very rarely seen and no case was reported yet in Korea. We report a case of bilateral emphysematous pyelonephritis and emphysematous cystitis which occured in 48-year-old diabetic patient simultaneously. It was caused by E coli The patient was cured by medical management alone.