Emphysematous Pyelonephritis: Bedside Ultrasound Diagnosis in the Emergency Department

Clinical Practice and Cases in Emergency Medicine
Gillian McCaffertyGavin Budhram

Abstract

Emphysematous pyelonephritis (EPN) is a rare, life-threatening infection, and misdiagnosis as uncomplicated pyelonephritis is potentially fatal. Point-of-care ultrasound (POCUS) is a valuable tool for evaluation of the kidneys in patients with septic shock and pyelonephritis. While used primarily to assess for the complication of obstruction and hydronephrosis, POCUS may also detect signs of EPN and prompt surgical consultation for nephrectomy. We present a case in which the emergency physician diagnosed EPN by POCUS in a patient with septic shock and pyelonephritis.

References

Jul 1, 1987·The American Journal of Medicine·G V EvanoffE J Weinman
Jan 1, 1986·Southern Medical Journal·F A KleinV Schneider
Jan 1, 1985·Computerized Radiology : Official Journal of the Computerized Tomography Society·W VasD Tucker
Dec 1, 1985·The Journal of Urology·T E AhleringD G Skinner
Feb 1, 1984·The Journal of Urology·J MichaeliM Caine
Dec 1, 1984·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·H A AllenJ W Haynes
Mar 1, 1983·AJR. American Journal of Roentgenology·W HoddickF C Laing
Jun 1, 1995·AJR. American Journal of Roentgenology·A S CardinaelJ P Gilbeau
Jan 1, 1995·British Journal of Urology·A R PontinD Kahn
Mar 1, 1997·Urology·A A ShokeirT El-Diasty
Mar 17, 2005·The Journal of Emergency Medicine·Susan C StoneStephen D Docherty
Sep 10, 2010·The American Journal of Emergency Medicine·Kuo-Chih ChenHang Chang

❮ Previous
Next ❯

Citations

Jul 4, 2019·Clinical and Experimental Nephrology·Abhilash Koratala, Harini Bejjanki
Nov 28, 2020·La Radiologia medica·Federica CiccareseCaterina Gaudiano

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.