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頁籤選單縮合
| 題 名 | Emphysematous Pyelonephritis Presenting as Necrotizing Fasciitis of the Leg=氣腫性腎盂腎炎以腿部壞死性筋膜炎表現 |
|---|---|
| 作 者 | 葉玉雄; 文耀閣; | 書刊名 | Journal of the Chinese Medical Association |
| 卷 期 | 72:3 2009.03[民98.03] |
| 頁 次 | 頁160-162+CA31 |
| 分類號 | 415.812 |
| 關鍵詞 | 氣腫性腎盂腎炎; 壞死性筋膜炎; Emphysematous pyelonephritis; Necrotizing fasciitis; |
| 語 文 | 英文(English) |
| 英文摘要 | 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. |
本系統中英文摘要資訊取自各篇刊載內容。