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A life-threatening sign, gas in the kidney is produced by bacteria: bilateral emphysematous pyelonephritis
  1. J S You1,
  2. S Park2,
  3. Y E Chung3,
  4. S P Chung4
  1. 1
    Department of Emergency Medicine, Seo-Ulsan Boram Hospital, Ulsan, Republic of Korea
  2. 2
    Ulsan Fire Department Headquarters, Ulsan, Republic of Korea
  3. 3
    Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Republic of Korea
  4. 4
    Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
  1. Dr S P Chung, Department of Emergency Medicine, Yonsei University, College of Medicine, Gangnam Severance Hospital, Dogok-dong, Gangnam-gu, Seoul 135–720, Republic of Korea; emstar{at}naver.com

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A 39-year-old woman presented to the emergency department with severe abdominal pain and pain in both flanks for 3 days. She had a history of treatment for pyelonephritis 7 days previously. Her blood pressure was 80/60 mm Hg. Laboratory findings were …

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