A rare but potentially fatal bacterial infection in a patient with poorly controlled diabetes mellitus: emphysematous pyelonephritis
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چکیده
Emphysematous pyelonephritis, a necrotizing infection of the renal parenchyma caused by gas-producing organism, is a rare but life-threatening condition. The initial presentation could be non-specific. We report a case of emphysematous pyelonephritis in a patient presenting with poorly controlled diabetes mellitus and severe sepsis. Its pathogenesis and management are briefly discussed. (Hong Kong j.emerg.med. 2010;17: 61-65)
منابع مشابه
Complicated bilateral fungal emphysematous pyelonephritis in a 55-year-old diabetic female: A case report and review of literature
Background and Purpose: Emphysematous pyelonephritis (EPN) is a rare and serious disease causing acute renal failure. Diabetes is a major risk factor for this infection. Case report: Herein, we present the case of a 55-year-old female patient with diabetes and EPN caused by Candida albicans. The infection was complicated with endophthalmitis and endocarditis. The results of antifungal suscep...
متن کاملBilateral emphysematous pyelonephritis
Emphysematous Pyelonephritis (EPN) is a rare necrotizing infection defined by gas production in the renal system. Bilateral disease has only been reported to occur in 10% of cases.1 This condition is considered a urologic emergency as mortality and morbidity rates are exceedingly high. The most common predisposing factor to developing EPN, is long-term poorly controlled Diabetes Mellitus (DM), ...
متن کاملLiterature review and case of medically managed bilateral emphysematous pyelonephritis
Bilateral emphysematous pyelonephritis (EPN) is an extremely uncommon condition that is often life threatening. It requires aggressive medical and often surgical management. EPN is a gasproducing, necrotizing infection involving the renal parenchyma. EPN is usually caused by an Escherichia coli (70%) or Klebsiella pneumonia (24%) infection.1e3 Although bilateral EPN is a rare phenomenon that oc...
متن کاملFive patients with emphysematous pyelonephritis.
Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma, resulting in presence of gas within either in the collecting system or perinephric space. We herein report our experience with 5 cases of emphysematous pyelonephritis in 2 men and 3 women managed by broad spectrum antibiotics, supportive measures including hemodialysis (2 patients), ureteral stenting (2 pati...
متن کاملEmphysematous 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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تاریخ انتشار 2010