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Related Experiment Videos

[Fatal emphysematous pyelonephritis].

J B Andersen1, A D Olsen, H M Pedersen

  • 1Aalborg Sygehus Nord, Urologisk og radiologisk afdeling.

Ugeskrift for Laeger
|May 11, 1992
PubMed
Summary
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Emphysematous pyelonephritis in a diabetic patient resolved with treatment but led to fatal sepsis after JJ-catheter removal. This highlights the critical need for prophylactic antibiotics during urinary tract interventions.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Diabetology

Background:

  • A 46-year-old male with diabetes mellitus presented with acute right renal symptoms.
  • Diagnosis of emphysematous pyelonephritis without urinary tract stones was established.

Observation:

  • The patient received comprehensive treatment including insulin, fluids, electrolytes, and antibiotics.
  • Interventions included nephrostomy followed by ureteral JJ-catheter placement.

Findings:

  • Initial symptoms resolved, and the patient was discharged on low-dose sulphamethizol.
  • Post-discharge, sepsis developed following planned JJ-catheter removal, leading to a fatal outcome.

Implications:

  • This case underscores the critical importance of prophylactic antibiotic therapy.

Related Experiment Videos

  • Adequate antibiotic prophylaxis is essential for preventing severe complications during urinary tract interventions.