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Emphysematous pyelonephritis.

Mohammed Nayeemuddin¹, Oliver J Wiseman, Alan G Turner

¹Department of Urology, Edith Cavell Hospital, Peterborough, UK. md_nayim@yahoo.com

Nature Clinical Practice. Urology

|February 14, 2006

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A case of emphysematous pyelonephritis in a patient with a suprapubic catheter is presented. Treatment involved endoscopic drainage and nephrectomy for this severe kidney infection.

Area of Science:

Nephrology
Urology
Infectious Diseases

Background:

A 54-year-old male with a long-standing suprapubic catheter presented with fever and abdominal pain.
Clinical examination revealed right renal angle tenderness and elevated white blood cell count.
Radiological imaging showed kidney stones and gas in the renal pelvis and perinephric space.

Observation:

The patient presented with symptoms suggestive of a complicated urinary tract infection.
Diagnostic investigations included X-ray, intravenous pyelogram, and ultrasound.
Gas within the renal pelvis and perinephric space indicated emphysematous pyelonephritis.

Findings:

The patient was diagnosed with Class 2 emphysematous pyelonephritis.
Escherichia coli was identified as the causative pathogen.

Related Experiment Videos

Urine and blood cultures confirmed the infection.

Implications:

This case highlights a rare but serious complication of urinary tract infections in patients with indwelling catheters.
Prompt diagnosis and management, including drainage and potential nephrectomy, are crucial for patient outcomes.
Understanding the risk factors and presentation of emphysematous pyelonephritis is important for clinicians.