Emphysematous pyelonephritis in an infant from Sokoto, north-western Nigeria

Abstract

We report the case of Y.B (initials of infant used to retain anonymity), a 7-month-old male infant that was referred from a secondary health facility in Sokoto, Nigeria, to Usmanu Danfodiyo Introduction: Emphysematous pyelonephritis is a life-threatening necrotising bacterial infection of the kidneys. It is rare among children and can be fatal if not promptly identified and treated.

Indications for Percutaneous Drainage in Patients with Huang Class 3B Emphysematous Pyelonephritis: A Case Report and Literature Review

“…In classes 3A and 3B, nephrectomy is recommended if two or more risk factors (thrombocytopenia, acute renal failure, disturbance of consciousness, and shock) are present. However, there have been reports of PCD in 3B patients with high-risk factors (3)(4)(5)(6)(7)(8). In addition, the kidney function is decreased by nephrectomy in renal transplant donors, and it is preferable to preserve the kidney if possible (11).…”

“…PCD was performed in 19.4% of the patients. Twelve Class 3B patients underwent PCD (Table 4) (3)(4)(5)(6)(7)(8)(12)(13)(14)(15)(16)(17). Extensive renal parenchymal destruction was defined as the destruction of the renal parenchyma from the upper pole to the lower pole.…”

“…In recent years, patients with two or more risk factors have undergone PCD and been cured (3)(4)(5). However, other patients did not improve after PCD and required nephrectomy or even died (6)(7)(8). Thus, the efficacy of PCD for high-risk Class 3B cases is unestablished.…”

A 11-Year-old Male with Fever, Abdominal Pain and Progressive Renal Dysfunction

“…Seven cases of EPN in children from 2010 to 2021 can be searched on PubMed. [4][5][6][7][8][9] Four patients had urinary disorders, 5-8 1 had immunodeficiency 4 and the 2 did not have an underlying illness. 4,9 No complications of diabetes including this disease were observed.…”

“…[4][5][6][7][8][9] Four patients had urinary disorders, 5-8 1 had immunodeficiency 4 and the 2 did not have an underlying illness. 4,9 No complications of diabetes including this disease were observed. This is a major difference from adult cases with a high complication rate of diabetes.…”