Abstract
Emphysematous or gas forming infections, a very small percentage of bacterial infections of the urinary tract attract importance because of their life threatening potential. The spectrum of gas producing infections include emphysematous pyelonephritis, emphysematous pyelitis and emphysematous cystitis. The first case of ‘pneumaturia’ was reported in 1898 [1] and since then more than 200 cases of emphysematous pyelonephritis have been reported. Bilateral emphysematous pyelonephritis is much rarer infection with fewer than 10% emphysematous pyelonephritis. More than 90% of emphysematous pyelonephritis occurs in patients with poorly controlled diabetes [2]. This report represents this rare infection.
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