Bilateral emphysematous pyelonephritis caused by Candida glabrata: An exceptional entity

Néphrologie & thérapeutique
Hajer HarrabiMounir Ben Jemâa

Abstract

Acute emphysematous pyelonephritis (AEP) is a severe form of urinary tract infection. It occurs usually in diabetics. The most concerned agents are the Gram-negative bacilli. We report a first case of bilateral AEP due to Candida glabrata, occurred in a 64-year-old diabetic woman. The clinical presentation started with fever and abdominal pains, without signs of urinary tract infection. Within six hours, the patient had developed a septic shock with renal failure and ketoacidosis. The diagnosis was confirmed by CT scan and the pathogen was isolated in urine. Despite antibiotic and antifungal treatment, she died from a septic shock. Acute emphysematous pyelonephritis due to Candida species is rare. However, the addition of antifungal therapy seems justified if a severe emphysematous pyelonephritis is associated with risk factors of Candida infection.

References

Mar 13, 1999·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·T S HildebrandR Schindler
Nov 11, 2003·Annales D'urologie·K DjeJ Tchimou

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Citations

Aug 23, 2012·North American Journal of Medical Sciences·Riyaz Ahmad BhatSuhail Lone
Jun 21, 2011·Médecine et maladies infectieuses·F AjiliS Othmani

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