GAS-FORMING INFECTIONS IN GENITOURINARY TRACT NATVARLAL P PATEL, M.D. RUSSELL W. LAVENGOOD, M.D. * MANUEL FERNANDES, M.D. JOSEPH N. WARD, M.D. MYRON P. WALZAK, M.D.

From the St. Luke’s_Roosevelt Hospital Center, and St. Joseph’s Hospital, Omaha, Nebraska

New, York. New, York,

ARSTRACT-Diabetes mellitvls associated with urinurvy tract infections arvd ureteral obstruction can he predisposing factors leading to evnph!jsc~matous pvyelonephritis. Fever, flank pains, and a palpable renal vna,ss, associuted with dehydration and hyperglycemia, were the most frequent presenting s~yvvvptovns associated 1~2th evnphysematous pyelonephritis. Computerized tovnographry (CT) scan i,s the best method to identify a renal or perirenal ah~scess and its ramifications. Intravenous antibiotic therapy is detervnined by blood and rcrinr cultures. Mortality was zero in patients treated by nephrectovny. One patient who had incision and drainage of a renal abscess died of sepsis, and 1 patient died of ,scp,sis following incision and drainage of a prostatic abscess. Patients with cystitis evnphysematosu require antibiotic therapy and relief of bladder outlet obstruction. Prostatic absce,ss is best treated by perineal incision and druivvage. Periurethral

Gas-forming infections in genitourinary tract.

Diabetes mellitus associated with urinary tract infections and ureteral obstruction can be predisposing factors leading to emphysematous pyelonephriti...
3MB Sizes 0 Downloads 0 Views