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[Emphysematous pyelonephritis: report of 3 cases]
1Service d'Urologie, Hôpital Edouard Herriot, Lyon, France. toutid@caramail.com
Summary
Emphysematous pyelonephritis (EPN), a severe kidney infection, can be effectively treated with percutaneous drainage and medical management. This approach offers a viable alternative to nephrectomy, especially for localized or bilateral cases, leading to favorable outcomes.
Area of Science:
- Nephrology
- Infectious Diseases
- Urology
Background:
- Emphysematous pyelonephritis (EPN) is a rare, severe renal infection characterized by pus and gas in the kidney parenchyma.
- It carries a high mortality rate if not treated promptly and effectively.
Observation:
- The study reports on three cases of EPN.
- Two cases involved localized lesions, and one case had disseminated multilocular lesions.
Findings:
- All three patients were successfully treated with percutaneous drainage combined with medical management.
- One patient with disseminated lesions underwent nephrectomy, also with an uneventful recovery.
Implications:
- Percutaneous drainage with medical treatment is a successful alternative to nephrectomy for EPN.
- This approach is particularly valuable for patients with localized, bilateral, or solitary kidney lesions.
- Prompt and appropriate treatment of EPN is crucial for reducing mortality.