Abstract
Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, leading to the accumulation of gas within the kidney and in the perinephric space. Patients with diabetes account for 85-100% of cases. The current treatment is one of the potent antimicrobial therapies together with kidney drainage and fluid resuscitation. Nephrectomy should be considered if patients deteriorate or do not improve on conservative treatment. We report a case of 62-year-old woman with multiple comorbidities, with a diagnosis of EPN whose condition did not improve despite the standard treatment approach.
Highlights
Emphysematous pyelonephritis (EPN) is a type of necrotizing infection that results in the production of gas in the renal parenchyma, renal collecting duct, or perinephric tissue [1]
We report a case of 62-year-old woman with multiple comorbidities, with a diagnosis of EPN whose condition did not improve despite the standard treatment approach
Our patient was burdened with chronic cardiovascular diseases, including chronic coronary syndrome, chronic heart failure with an ejection fraction of 20%, hypertension, and type II diabetes mellitus, which occurs in approximately 90% of patients with EPN
Summary
Emphysematous pyelonephritis (EPN) is a type of necrotizing infection that results in the production of gas in the renal parenchyma, renal collecting duct, or perinephric tissue [1]. Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, leading to the accumulation of gas within the kidney and in the perinephric space. The current treatment is one of the potent antimicrobial therapies together with kidney drainage and fluid resuscitation. We report a case of 62-year-old woman with multiple comorbidities, with a diagnosis of EPN whose condition did not improve despite the standard treatment approach.
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