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Related Experiment Videos

Emphysematous pyelonephritis.

V P Sathyanathan1, S Gomathy, R N Potty

  • 1Department of Nephrology, Medical College, Trivandrum-695011.

The Journal of the Association of Physicians of India
|March 29, 2001
PubMed
Summary

Emphysematous pyelonephritis, a severe kidney infection with gas production, can be diagnosed clinically in diabetic patients with surgical emphysema. This case highlights successful management through combined medical and surgical treatment.

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • Emphysematous pyelonephritis is a necrotizing renal infection characterized by gas within the kidney parenchyma and perirenal space.
  • It is a severe complication of acute pyelonephritis, predominantly seen in diabetic patients.
  • Diagnosis typically relies on imaging modalities such as plain abdominal films, ultrasonography, or CT scans.

Observation:

  • This report details a case where emphysematous pyelonephritis was diagnosed clinically due to extensive surgical emphysema.
  • The patient was a diabetic with symptoms including fever, abdominal pain, nausea, and vomiting.
  • Radiological confirmation was not the primary diagnostic tool in this instance.

Findings:

  • Clinical diagnosis of emphysematous pyelonephritis is possible, particularly in diabetic patients presenting with significant surgical emphysema.

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  • The condition, though severe, can be effectively managed.
  • A combined medical and surgical approach proved successful in this case.

    • Implications:

    • Highlights the importance of clinical suspicion for emphysematous pyelonephritis in diabetic patients with surgical emphysema.
    • Suggests that early clinical recognition can lead to timely and effective treatment.
    • Emphasizes the potential for successful management with a multidisciplinary approach, potentially reducing reliance on immediate surgical intervention in select cases.