Abstract

Fulminant Emphysematous Pyelonephritis: Case Report and Revision of the Literature

Highlights

  • Emphysematous pyelonephritis (EPN) is an acute necrotizing parenchymal secondary to gas-forming uropathogens and mortality rates in medically managed patients are as high as 70–90% [1]; it should be suspected in diabetic and in immunosuppressed patients with urinary tract infections and worsening of clinical conditions

  • We report a 56-year-old woman who presented with urinary sepsis that needed emergency nephrectomy in view of her worsening condition

  • An ultrasound of the abdomen showed hydronephrosis of the right kidney; a computed tomography (CT) scan of the abdomen performed without contrast medium showed hydronephrosis of the right kidney (Figure 1a) secondary to a stone placed in the homolateral iuxtavesical ureter

Read more

Summary

Introduction

Emphysematous pyelonephritis (EPN) is an acute necrotizing parenchymal secondary to gas-forming uropathogens and mortality rates in medically managed patients are as high as 70–90% [1]; it should be suspected in diabetic and in immunosuppressed patients with urinary tract infections and worsening of clinical conditions. A 56-year-old woman, a known type 2 diabetes mellitus in treatment with oral hypoglycemics, multiple sclerosis in therapy with immunosuppressive drugs presented to our emergency department with right flank pain for 8 days, associated with fever (38.6°) and dysuria. At admission, she was disoriented; blood exams showed sugar levels of 238 mg%, urea 85 mg%, serum creatinine 1.3 mg%, total leukocyte count 15,200/mm, and a platelet count of 116,000/mm, C-reactive protein (PCR 9.3) and procalcitonine 0.4. Definitive specimen showed the presence of an acute and extensive pyelonephritis

Discussion
Findings
Conclusion
Ethical approval and consent to participate
Full Text
Paper version not known

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.