Emphysematous pyelonephritis: case report and review of the literature

McDermid, K P; Watterson, John R.; Eeden, Stephan F. van

doi:10.1016/s0168-8227(98)00127-2

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Diagnosis is mainly radiological. The presence of gas within renal structures is diagnostic for EPN [13]. Plain abdominal radiograph and ultrasonography are only accurate in 65% and 69% of cases, respectively which made abdominal CT an essential tool for early diagnosis and management [14].…”

Section: Discussionmentioning

confidence: 99%

Diabetic Ketoacidosis with Two Life Threatening Infections: Mucormycosis, and Bilateral Emphysematous Pyelonepritis, Preciptating Erythema Nodosum Leprosum as the Initial Presentation of Diabetes

Elbendary¹

2014

J Diabetes Metab

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Emphysematous pyelonephritis is an acute necrotizing renal and perirenal infection, caused by gas forming organism. Mucormycosis is an opportunistic aggressive fungal infection causing tissue thrombosis and necrosis. Erythema nodosum leprosum reaction is an inflammatory reaction occurring in borderline and lepromatous leprosy before, during or after multidrug treatment, where immune complexes deposit in various organs resulting in considerable damage to the organs that were site of deposition. Both emphysematous pyelonephritis and mucormycosis are infections that occur principally in diabetics, especially with poor control of blood sugar. Herein we report a 27 year old woman presenting to the emergency department with diabetic ketoacidosis as a first presentation of diabetes, where array of investigations revealed emphysematous pyelonephritis, palatal mucormycosis, and erythema nodosum leprosum. The early aggressive management with the correction of blood glucose and ketoacidosis help to give a successful outcome to the patient. To the best of our knowledge, this case is the first in English literature to report coexisting bilateral emphysematous pyelonephritis and palatal mucormycosis in a diabetic patient, precipitating erythema nodosum leprosum, and highlights the possibility of occurrence of more than one serious condition in a diabetic at a time.

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Section: Discussionmentioning

confidence: 99%

Diabetic Ketoacidosis with Two Life Threatening Infections: Mucormycosis, and Bilateral Emphysematous Pyelonepritis, Preciptating Erythema Nodosum Leprosum as the Initial Presentation of Diabetes

Elbendary¹

2014

J Diabetes Metab

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“…The infection with optional anaerobic microorganisms , which are able to produce gas , is supported by a reduced state of resistance , a high glucose level in the tissue in diabetic derailment , and ischaemia of the infected organ. The inflammation occurs unilaterally and in only 10% of all cases both kidneys are affected 5 . Previous researchers have postulated that vigorous resuscitation and appropriate medical treatment should be followed by immediate nephrectomy 6 .…”

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confidence: 99%

Emphysematous pyelonephritis: non surgical treatment approach

Singal

Gupta

et al. 2015

Bangladesh J Med Sci

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Abstract:Emphysematous pyelonephritis is a severe infection characterized by the presence of gas within the renal parenchyma tissues. It is a life threatening complication of bacterial interstitial nephritis, and it mainly occurs in patients with diabetes mellitus. We report a case of a 37 year old female who complained of fever and pain in left lumbar region on admission. Her past medical history included uncontrolled type 2 diabetes mellitus. On USG (ultrasonography), left kidney swollen and show echogenic linear specs with dirty shadowing suggestive of air in pelvicalyceal system (PCS). She was treated with intensive antibiotic therapy in high doses. On repeat USG there was marked reduction in air shadow in kidney and patient improved clinically.

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Diabetic ketoacidosis presenting with emphysematous pyelonephritis

Eid

Salam

2010

Journal of Diabetes and its Complications

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Emphysematous pyelonephritis: case report and review of the literature

Cited by 5 publications

References 14 publications

Diabetic Ketoacidosis with Two Life Threatening Infections: Mucormycosis, and Bilateral Emphysematous Pyelonepritis, Preciptating Erythema Nodosum Leprosum as the Initial Presentation of Diabetes

Diabetic Ketoacidosis with Two Life Threatening Infections: Mucormycosis, and Bilateral Emphysematous Pyelonepritis, Preciptating Erythema Nodosum Leprosum as the Initial Presentation of Diabetes

Emphysematous pyelonephritis: non surgical treatment approach

Diabetic ketoacidosis presenting with emphysematous pyelonephritis

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