Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Emphysematous pyelonephritis.

Jinn-Ming Wang1, Hwee-Kheng Lim, Kwok-Kuen Pang

  • 1Department of Urology, Mackay Memorial Hospital, Taitung, Taiwan. wkheng@ms1.mmh.org.tw

Scandinavian Journal of Urology and Nephrology
|May 1, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Scrub Typhus: Seven-Year Experience and Literature Review.

Journal of acute medicine·2020
Same author

Necrotizing fasciitis: eight-year experience and literature review.

The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases·2013
Same author

Methemoglobin suppression in a 0.3 Tesla magnet: an in vitro and in vivo study.

Academic radiology·2010
Same author

Intermittent mild dysphagia.

Gastroenterology·2010
Same author

High prevalence rate of multidrug resistance among nosocomial pathogens in the respiratory care center of a tertiary hospital.

Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi·2010
Same author

A giant superior venous cava resulted from obstructive total anomalous pulmonary venous connection.

Circulation. Cardiovascular imaging·2009

Emphysematous pyelonephritis (EPN) has a high mortality rate. Early diagnosis with CT and prompt drainage, alongside antibiotics, offers a viable alternative to nephrectomy for this severe condition.

Area of Science:

  • Nephrology
  • Radiology
  • Infectious Diseases

Background:

  • Emphysematous pyelonephritis (EPN) is a severe necrotizing infection of the kidney with a high mortality rate.
  • Optimal management strategies for EPN remain a subject of debate.

Purpose of the Study:

  • To evaluate the diagnostic accuracy of imaging modalities and assess treatment outcomes for patients with EPN.
  • To identify predictors of mortality in EPN patients.

Main Methods:

  • Retrospective analysis of 26 EPN patients treated between January 1993 and December 2004.
  • Review of historical, demographic, and laboratory data.
  • Comparison of diagnostic accuracy of plain X-ray, ultrasonography, and CT scans.

Main Results:

Related Experiment Videos

  • CT demonstrated 100% diagnostic accuracy for EPN, outperforming X-ray (36%) and ultrasonography (50%).
  • Eighteen out of 26 patients survived.
  • Diabetic ketoacidosis, obesity, and smoking were significant predictors of mortality.

Conclusions:

  • Early diagnosis of EPN is crucial and best achieved with CT.
  • CT-guided percutaneous drainage or open drainage, combined with antibiotics, presents a viable alternative to nephrectomy.
  • Aggressive management, including timely drainage and antibiotics, can improve outcomes in EPN patients.