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A case of emphysematous pyelonephritis

journal contribution
posted on 2023-06-08, 14:55 authored by Thomas Clark, Mei Abdelkareem, Khalid Mustafa AliKhalid Mustafa Ali
Emphysematous pyelonephritis (EPN) is a rare but life-threatening, fulminant, necrotizing infection of the renal and perirenal tissues that is characterized by gas formation. In this case a 34-year-old woman with poorly controlled diabetes presented with symptoms indicative of a severe pyelonephritis. Following a failed response to initial treatment measures, a diagnosis of EPN was made following a CT scan. With aggressive fluid resuscitation, antibiotics and decompression with nephrostomy, the patient improved and avoided surgical intervention. The diagnosis, classification and treatment of EPN are discussed.

History

Publication status

  • Published

Journal

Journal of the Royal Society of Medicine

ISSN

0141-0768

Publisher

SAGE Publications

Issue

2

Volume

102

Page range

75-77

Department affiliated with

  • Clinical and Experimental Medicine Publications

Full text available

  • No

Peer reviewed?

  • Yes

Legacy Posted Date

2013-05-13

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