Description

Wan et al classified the findings seen on a renal imaging study of a patient with emphysematous pyelonephritis (EPN). The authors are from the Chang Gung Medical Center at Linkou, Taiwan.


 

Parameters seen on the renal imaging studies:

(1) renal parenchymal necrosis

(2) fluid content (renal and/or perirenal)

(3) gas pattern (result of gas-producing bacteria)

 

Criteria for Type I - both of the following:

(1) renal parenchymal necrosis/destruction

(2) one or both of the following:

(2a) absence of fluid collections

(2b) streaky or mottled gas pattern

 

Criteria for Type II - both of the following:

(1) renal and/or perirenal fluid collection

(2) one or both of the following:

(2a) bubbly pattern

(2b) gas in the collecting system

 

The mortality rate with Type I is considerably higher than for Type II (69% vs 18%).

 


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