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Clinics in diagnostic imaging (99). Left emphysematous pyelonephritis
1Department of Radiology, Chiang Mai University, Chiang Mai 50200, Thailand. mmuttara@med.cmu.ac.th
Singapore Medical Journal
|June 29, 2004
Summary
Emphysematous pyelonephritis, a severe kidney infection with gas formation, is detailed in this case study. Escherichia coli was identified as the causative agent, leading to nephrectomy.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Diabetes mellitus is a significant risk factor for severe urinary tract infections.
- Emphysematous pyelonephritis is a rare, aggressive necrotizing infection of the kidney.
Observation:
- A 57-year-old female with diabetes presented with fever, dysuria, and left flank pain.
- CT scan revealed extensive left renal parenchymal destruction and gas collection.
- Urine culture identified Escherichia coli as the pathogen.
Findings:
- The patient was diagnosed with emphysematous pyelonephritis.
- Surgical intervention via left nephrectomy was required for treatment.
- The case highlights the importance of prompt diagnosis and management.
Implications:
- Early recognition of emphysematous pyelonephritis is crucial for preventing severe complications.
- Understanding radiological findings aids in diagnosing gas-forming renal infections.
- This condition necessitates aggressive treatment strategies, often including nephrectomy.