Concurrent Presentation of Emphysematous Pyelonephritis, Emphysematous Osteomyelitis, and Psoas Abscesses.
Concurrent Presentation of Emphysematous Pyelonephritis, Emphysematous Osteomyelitis, and Psoas Abscesses.
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DOI：
10.7759/cureus.15908
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Chakkalakkoombil SV
中科院分区：
文献类型：
--
作者：
Neelakandan S;Viswanathan S;Selvaraj J;Pillai V;Sharma D;Chakkalakkoombil SV
气肿性肾盂肾炎是一种少见的坏死性感染，常见于糖尿病患者。肺气肿性骨髓炎（EOM）是一种罕见的化脓性骨髓炎，其特征是骨骼中存在空气。这两种感染的组合在文献中仅报告了三次。我们提出的情况下，一个中年糖尿病妇女谁都有这些罕见的感染沿着腰大肌扩张，这种现象已被描述只有一次以前。患者需要延长住院时间、手术清创和引流、双J支架和美罗培南，随后完全康复。
Emphysematous pyelonephritis (EPN) is an uncommon necrotizing infection commonly seen in people with diabetes. Emphysematous osteomyelitis (EOM) is a rare form of pyogenic osteomyelitis characterized by the presence of air in the bones. A combination of both these infections has been reported only thrice in the literature. We present the case of a middle-aged diabetic woman who had both these rare infections along with psoas abscesses, a phenomenon that has been described only once previously. The patient required prolonged hospitalization, surgical debridement and drainage, a double-J stent, and meropenem, and she subsequently achieved full recovery.
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