A Lethal Case of a 3B Stage Emphysematous Pyelonephritis

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Author Info

Jakub Szczepanski Jaroslaw Rysz Maciej Stroczynski Aras Almohammad Krzysztof Smigaj Maciej Salagierski

Corresponding Author

Maciej Salagierski
Department of Urology, Collegium Medicum, University of Zielona Gora, Zielona Gora, Poland

A B S T R A C T

Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, leading to the accumulation of gas within the kidney and in the perinephric space. Patients with diabetes account for 85-100% of cases. The current treatment is one of the potent antimicrobial therapies together with kidney drainage and fluid resuscitation. Nephrectomy should be considered if patients deteriorate or do not improve on conservative treatment. We report a case of 62-year-old woman with multiple comorbidities, with a diagnosis of EPN whose condition did not improve despite the standard treatment approach.

Article Info

Article Type

Case Report

Publication history

Received: Fri 11, Jun 2021
Accepted: Tue 29, Jun 2021
Published: Wed 28, Jul 2021

Copyright

© 2023 Maciej Salagierski. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.07.07