TY - JOUR
AR - SCR-2021-7-107
TI - A Lethal Case of a 3B Stage Emphysematous Pyelonephritis
AU - Jakub, Szczepanski
AU - Jaroslaw, Rysz
AU - Maciej, Stroczynski
AU - Aras, Almohammad
AU - Krzysztof, Smigaj
AU - Maciej,  Salagierski
JO - Surgical Case Reports
PY - 2021
DA - Wed 28, Jul 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.07.07
UR - https://www.sciencerepository.org/a-lethal-case-of-a-3b-stage-emphysematous-pyelonephritis_SCR-2021-7-107 
KW - Emphysematous, pyelonephritis, nephrectomy, diabetes
AB - 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.