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[Emphysematous pyelonephritis in lithiasic kidney caused by acinetobacter]
A Benchekroun1, M Ghadouane, M Alami
1Clinique Urologique A, Hôpital Avicenne, Rabat, Maroc.
Summary
Emphysematous pyelonephritis, a rare infection, typically affects diabetic women. This case highlights an unusual association with ureteral stones and gas-producing Acinetobacter, necessitating urgent intervention.
Area of Science:
- Nephrology
- Infectious Diseases
- Urology
Context:
- Emphysematous pyelonephritis is a rare necrotizing renal parenchymal infection.
- It is often associated with diabetes mellitus and gram-negative bacterial infections.
- Association with urolithiasis and collecting system obstruction is exceptionally rare.
Purpose:
- To report a rare case of emphysematous pyelonephritis.
- To highlight its association with pelvic ureteral junction lithiasis.
- To emphasize the causative role of Acinetobacter.
Summary:
- A case of emphysematous pyelonephritis caused by Acinetobacter is presented.
- The patient had pelvic ureteral junction lithiasis causing obstruction.
- Management involved drainage and nephrectomy due to the life-threatening nature of the condition.
Impact:
- This case expands the understanding of emphysematous pyelonephritis etiology.
- It underscores the importance of considering urolithiasis in atypical presentations.
- Highlights the need for prompt and aggressive management in life-threatening cases.