Jakub Szczepanski,Jaroslaw Rysz,Maciej Stroczynski,Aras Almohammad,Krzysztof Smigaj,Maciej  Salagierski,
A Lethal Case of a 3B Stage Emphysematous Pyelonephritis
Surgical Case Reports
2021
2613-5965
http://dx.doi.org/10.31487/j.SCR.2021.07.07
https://www.sciencerepository.org/a-lethal-case-of-a-3b-stage-emphysematous-pyelonephritis_SCR-2021-7-107 
Abstract: 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.Keywords: Emphysematous, pyelonephritis, nephrectomy, diabetes