Emphysematous pyelonephritis in Diabetes: A case report
Abstract
Introduction: Emphysematous pyelonephritis (EPN) is a severe infection of the renal parenchyma that causes gas accumulation in the renal tissue.
Case presentation: A 58 year old female was seen in the emergency department on 20/4/15 with complains of fever with left sided abdominal pain since 8 days associated with burning micturaton. She developed loose stools watery in consistency since 4 days. No blood was seen in stools. Her chief complain on admission was shortness of breath. She was diagnosed to have emphysematous pyelonephritis and was successfully treated.
Conclusion: Patients with emphysematous pyelonephritis (EPN) should be treated with aggressive medical management and surgical intervention whenever indicated.
References
2. Schultz EH, Klorfein EH. Emphysematous pyelonephritis. J Urol. 1962;87:762-6.
3. Huang Kelly HA, MacCallum WG: Pneumaturia. JAMA. 1898;31:375-381
4. Huang JJ, Tseng CC. Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med. 2000;160:797.
5. Gaither K, Ardite A, Mason TC. Pregnancy complicated by emphysematous pyonephrosis. J Natl MedAssoc. 2005;97 (10):1411¬3.
6. Shokeir AA, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis: a 15-year experience with 20 cases. Urology. 1997; 49(3):343-6.
7. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore) 2007;86:47.
8. Somani BK, Nabi G, Thorpe Pet al.Is percutaneous drainage the new gold standard in the management of emphysematous pyelonephritis? Evidence from a systematic review. J Urol. 2008;179:1844-1849.