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[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
Abstract:
A man aged 46 years with diabetes mellitus was admitted with acute right-sided renal symptoms. Pyelonephritis emphysematous without concretions was found. The patient was treated with insulin, fluids, electrolytes and antibiotics and nephrostomy was performed and, subsequently, an internal JJ-catheter in the ureter. The symptoms disappeared and he was discharged on a low dosage of sulphamethizol. After the planned removal of the JJ-catheter, sepsis running a lethal course developed. This emphasizes the importance of adequate prophylactic antibiotic therapy in connection with interventions in the urinary tracts.