Emphysematous Pyelonephritis Treated with Elective Nephrectomy in a 75-Year-Old Diabetic Patient

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Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient

We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consid...

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Emphysematous pyelonephritis in a diabetic patient with obstructed kidney

Emphysematous pyelonephritis (EPN) is an acute, rare, inflammatory disease, which typically occurs in patients who suffer from diabetes mellitus. We report the case of a patient who was admitted to the Department of Urology with septic signs, in whom, after performing computed tomography, the diagnosis of EPN was established. The patient underwent organ-preserving treatment, which consisted of ...

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Emphysematous pyelonephritis in a diabetic patient with pelvic-ureteric stone.

Emphysematous pyelonephritis is a rare but life threatening infection of kidney that is characterized by gas formation within or around the kidney. We describe a case of emphysematous pyelonephritis as a consequence of inadequately treated pelvic-ureteric stone in a diabetic man and complement this with a brief review of the literature pertaining in particular to the management of this condition.

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A 57-year-old diabetic woman was referred to hospital for high fever. Her HbA1c was 8.7% and white blood cell was 23,300/μL. Urinalysis suggested urinary tract infection. Computed tomography revealed a markedly enlarged right kidney with parenchymal gas and obstruction of the right ureter by a stone (Picture 1). After a right nephrectomy, she showed hypercalcemia (11.2 to 11.8 mg/dL) and an ele...

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ژورنال

عنوان ژورنال: Clinics and Practice

سال: 2012

ISSN: 2039-7283

DOI: 10.4081/cp.2012.e14