A Lethal Case of a 3B Stage Emphysematous Pyelonephritis

Review Data

Q: Is the topic relevant to the journal area of interest? Is it contemporary and interesting for

researchers?

A: Excellent

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Very good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are methods the author uses adequate and well used?

A: Very good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments:

The Discussion explains the challenges in treating the patient in the present case clearly. It also offers useful suggestions with respect to the treatment regimen. Due to the ineffectiveness of antibiotic therapy along with drainage in the present case, the decision was made to perform nephrectomy, after which the patient could not make it. The study is well supported with figures. Based on occurrence of death despite standard management, the study concludes that general condition, age, and concomitant diseases have a significant effect on the outcome of treatment.

Literature

Q: Does the author utilize relevant literature?

A: Very good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Very good

Length

Q: Is the length of the paper adequate to the significance of the topic? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Very good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: This case report presents the case of a 62-year-old woman with multiple comorbidities, with a diagnosis of Emphysematous pyelonephritis (EPN) whose condition did not improve despite the standard treatment approach. Emphysematous pyelonephritis is a type of necrotizing infection that results in the production of gas in the renal parenchyma, renal collecting duct, or perinephric tissue. This study holds significance as studies in the last two decades show a very high mortality rate of 21% for this condition.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

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Science Repository Team