Successful management of bilateral emphysematous pyelonephritis in end-stage polycystic kidneys: bilateral native nephrectomies and preservation of functioning renal transplant

Wong, Edwin K.S.; Hartley, R. B.; Main, John

doi:10.1093/ndtplus/sfr102

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…[ 37 ] 2010 64 F + − Candida None Antibiotics and antifungal Died 10 Wong et al. [ 38 ] 2011 42 M + − E coli, Enterococcus and Candida Adult polycystic kidney disease Bilateral nephrectomy, PCD and antibiotics Survived 11 Lakshminarayana et al. [ 39 ] 2012 43 M – − E coli ADPKD and hypertension Bilateral nephrectomy and antibiotics Survived 12 Lim et al.…”

Section: Discussionmentioning

confidence: 99%

Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman

Frimpong

Aboagye

Amankwah

et al. 2018

Radiology Case Reports

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A 78-year-old black woman with a 10-year history of diabetes mellitus was admitted to the intensive care unit. Upon admission, she presented with chills, nausea, and left flank pain. The presence of hyperglycemia (fasting blood glucose, 19.7 mmol/L) and an altered consciousness required immediate treatment with insulin analog. Laboratory investigations and enhanced computed tomography scan led to the diagnosis of bilateral emphysematous pyelonephritis (EPN). The patient responded well to conservative treatment with antibiotics, and was finally discharged after 22 days when the computed tomography scan showed resolution of all the pockets of air. This case and associated literature review of 25 previously reported cases of bilateral EPN show the changing trend of EPN management from emergency nephrectomy toward conservative treatment with potent antibiotics and/or percutaneous drainage, and has been associated with higher survival rates compared to emergency nephrectomy.

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Section: Discussionmentioning

confidence: 99%

Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman

Frimpong

Aboagye

Amankwah

et al. 2018

Radiology Case Reports

View full text Add to dashboard Cite

show abstract

Autosomal Dominant Polycystic Kidney Disease with Emphysematous Polycystic Renal Infection That Required Surgical Treatment

et al. 2019

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We encountered a patient with autosomal dominant polycystic kidney disease (ADPKD) complicated with emphysematous polycystic renal infection (EPRI). A 44-year-old woman visited our hospital for a fever, appetite loss, and gross hematuria. Because the patient was suffering from end-stage renal disease (ESRD), she was immediately hospitalized for hemodialysis. Multiple emphysematous infected cysts were noted in the right kidney, and antibiotic therapy and three rounds of cystic drainage were performed. However, the patient did not respond to treatment. Therefore, laparoscopic right nephrectomy was performed. ADPKD with comorbid EPRI is unresponsive to conservative treatment, and we believe that nephrectomy should be considered.

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Successful management of bilateral emphysematous pyelonephritis in end-stage polycystic kidneys: bilateral native nephrectomies and preservation of functioning renal transplant

Cited by 2 publications

References 8 publications

Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman

Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman

Autosomal Dominant Polycystic Kidney Disease with Emphysematous Polycystic Renal Infection That Required Surgical Treatment

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