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[Emphysematous pyelonephritis: 3 cases].

M Alvo1, C Vega, C Ugarte

  • 1Departamento de Medicina Interna, Facultad de Medicina, Universidad de Chile.

Revista Medica De Chile
|February 1, 1991
PubMed
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Emphysematous pyelonephritis, a severe kidney infection, occurred in three diabetic women over 50. Diagnosis via imaging led to surgery, as antibiotics failed to treat this E coli infection.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • Emphysematous pyelonephritis is a rare, aggressive necrotizing infection of the kidney.
  • Diabetes mellitus is a significant risk factor for developing severe urinary tract infections.

Observation:

  • Three cases of emphysematous pyelonephritis in postmenopausal diabetic females are presented.
  • All patients exhibited unilateral, necrotizing pyelonephritis with intra- and perirenal gas.
  • Escherichia coli (E. coli) was identified as the causative pathogen in all cases.

Findings:

  • Radiography and ultrasound imaging were crucial for diagnosing the condition.
  • Standard antibiotic therapy proved ineffective in resolving the infection.
  • Surgical intervention was required for all three patients.

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Implications:

  • Highlights the aggressive nature of emphysematous pyelonephritis in diabetic patients.
  • Underscores the limitations of antibiotic therapy and the frequent need for surgical management.
  • Emphasizes the importance of prompt diagnosis using imaging modalities in at-risk populations.