Clinical profile and outcome of conservatively managed emphysematous pyelonephritis.

ISRN Urology
Praveen Kumar KollaRama Mohan Pathapati

Abstract

Emphysematous pyelonephritis (EPN) is a severe, necrotizing renal parenchymal infection characterized by production of intraparenchymal gas. EPN predominantly affects female diabetics and immunocompromised patients. In a three-year period 2008-2011, a total of 8 patients were admitted to our hospital. All of them were diabetics, and both males and females were equally affected. These patients showed vague symptoms at admission and frequently presented with fever, loin pain, dysuria, and pyuria necessitating urgent medical attention. EPN required radiological diagnosis. CT scan revealed bilateral EPN with urinary obstruction and hydronephrosis in 50% of patients. Escherichia coli was found to be the causative organism in all the patients. Treatment comprised of resuscitation, normalization of serum electrolytes and blood sugars, administration of parenteral antibiotics, and relieving ureteric obstruction if present. All the patients improved with conservative management without any mortality.

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Citations

Feb 6, 2014·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Debraj Sen, Arjun S Sandhu
Oct 30, 2013·ANZ Journal of Surgery·Simon P Rowland, Hemant Sheth
May 29, 2015·Arab Journal of Urology·Omar M AboumarzoukBhaskar Somani
Apr 25, 2020·CEN Case Reports·Venice Chávez-ValenciaFrancisco Alejandro Lagunas-Rangel

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