Case Report
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Emphysematous Pyelonephritis Treated with Only Parenteral Antimicrobial Therapy

Year 2020, Volume: 15 Issue: 1, 47 - 51, 26.03.2020
https://doi.org/10.17517/ksutfd.655822

Abstract

Emphysematous pyelonephritis is a highly mortal, acute necrotizing disease charactarized by gas formation in either renal parenchyma or perirenal area. Although it is seen quite rare; it usually diagnosed in diabetes mellitus patients. Predominantly it is caused by microorganism Escherichia coli, many other possible microorganism can play a role. It is diagnosed with clinical assesment, radiological imaging and labrotary results. It can be treated with parenteral antibiotic therapy, percutaneous drainage or nephrectomy. There are a small proportion of patients whom can be treated with antibiotic treatment only. In this case report, we will discuss a patient with type 2 emphysematous pyelonephritis whom received only antibiotic treatment and showed clinical improvement. The patient signed a conset form to allow us share her personel data.

References

  • 1. Michaeli J, Mogle P, Perlberg S, Hemiman S, Caine M. Emphysematous pyelonefrit. J. Urol. 1984; 131: 203–8.
  • 2. Shokeir AA, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis 15-year experience with 20 cases. Urology 1997;49:343-6.
  • 3. Turney JH. Renal conservation for gas forming infections. Lancet. 2000;355:770–1.
  • 4. Aswathaman K, Gopalakrishnan G, Gnanaraj L, Chacko NK, Kekre NS, Devasia A. Emphysematous pyelonephritis: Outcome of conservative management. Urology. 2008;71:1007–9
  • 5. Ellenbogen PH, Talner LB. Uroradiology of diabetes mellitus. Urology 1976;8:413-9.
  • 6. Terrance P, Suzanne E, Nathaniel J. Bilateral emphysematous pyelonephritis. Am J Emerg Med 1998;16:166-9.
  • 7. Sokhal AK, Kumar M, Purkait B ve ark.Amfizematöz piyelonefrit: Klinik spektrumun değişme eğilimi, patogenez, tedavi ve sonuç. Turk J Urol. 2017; 43 (2): 202-209.
  • 8. Patterson JE, Andriole VD: Bacterial urinary tract infections in diabetics. İnfect Dis Clin North Am 9: 25, 1995.
  • 9. Cook DJ, Achong MR, Dobranowshi J: Emphysematous pyelonephritis complicated UTI in diabetes. Diabetes Care, 12: 229, 1989.
  • 10. Evanoff GV, Thompson CS, Foley R, et al. Spectrum of gas within the kidney: Emphysematous pyelonephritis and emphysematous pyelitis. Am J Med 1987;83:149-54.
Year 2020, Volume: 15 Issue: 1, 47 - 51, 26.03.2020
https://doi.org/10.17517/ksutfd.655822

Abstract

References

  • 1. Michaeli J, Mogle P, Perlberg S, Hemiman S, Caine M. Emphysematous pyelonefrit. J. Urol. 1984; 131: 203–8.
  • 2. Shokeir AA, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis 15-year experience with 20 cases. Urology 1997;49:343-6.
  • 3. Turney JH. Renal conservation for gas forming infections. Lancet. 2000;355:770–1.
  • 4. Aswathaman K, Gopalakrishnan G, Gnanaraj L, Chacko NK, Kekre NS, Devasia A. Emphysematous pyelonephritis: Outcome of conservative management. Urology. 2008;71:1007–9
  • 5. Ellenbogen PH, Talner LB. Uroradiology of diabetes mellitus. Urology 1976;8:413-9.
  • 6. Terrance P, Suzanne E, Nathaniel J. Bilateral emphysematous pyelonephritis. Am J Emerg Med 1998;16:166-9.
  • 7. Sokhal AK, Kumar M, Purkait B ve ark.Amfizematöz piyelonefrit: Klinik spektrumun değişme eğilimi, patogenez, tedavi ve sonuç. Turk J Urol. 2017; 43 (2): 202-209.
  • 8. Patterson JE, Andriole VD: Bacterial urinary tract infections in diabetics. İnfect Dis Clin North Am 9: 25, 1995.
  • 9. Cook DJ, Achong MR, Dobranowshi J: Emphysematous pyelonephritis complicated UTI in diabetes. Diabetes Care, 12: 229, 1989.
  • 10. Evanoff GV, Thompson CS, Foley R, et al. Spectrum of gas within the kidney: Emphysematous pyelonephritis and emphysematous pyelitis. Am J Med 1987;83:149-54.
There are 10 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Olgu Sunumları
Authors

Uğur Ergün 0000-0002-6111-0030

Ahmet Ürk 0000-0001-9799-2971

Fatih Erdem

Erdoğan Bülbül This is me

Ali Cem Yekdeş

Publication Date March 26, 2020
Submission Date December 5, 2019
Acceptance Date January 18, 2020
Published in Issue Year 2020 Volume: 15 Issue: 1

Cite

AMA Ergün U, Ürk A, Erdem F, Bülbül E, Yekdeş AC. Emphysematous Pyelonephritis Treated with Only Parenteral Antimicrobial Therapy. KSU Medical Journal. March 2020;15(1):47-51. doi:10.17517/ksutfd.655822