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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
Published on: July 18, 2017
Emphysematous pyelitis: epidemiological, therapeutic and evolutive features
Amine Derouiche1, Rabii El Attat, Hassen Hentati
1Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia.
La Tunisie Medicale
|June 20, 2009
Summary
Emphysematous pyelitis, a rare kidney infection, is linked to diabetes and urinary issues. Early diagnosis via CT scans and prompt treatment with antibiotics and drainage can prevent severe outcomes like nephrectomy.
Area of Science:
- Urology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelitis is a rare, severe form of acute pyelonephritis.
- It is characterized by the presence of gas within the renal pelvis and parenchyma.
- Risk factors include diabetes mellitus and urinary tract obstruction.
Purpose of the Study:
- To investigate the epidemiological, clinical, and therapeutic features of emphysematous pyelitis.
- To highlight diagnostic modalities and management strategies for this uncommon condition.
Main Methods:
- Retrospective analysis of six patients diagnosed with emphysematous pyelitis.
- Data collected included patient demographics, comorbidities, clinical presentation, diagnostic findings, treatment, and outcomes.
Main Results:
- The average patient age was 55 years, with diabetes and urinary lithiasis as common comorbidities.
- Escherichia coli was the most frequent pathogen identified.
- Computed tomography (CT) was crucial for diagnosis, revealing gas in the collecting system. Treatment with antibiotics and drainage successfully avoided nephrectomy in most cases.
Conclusions:
- Emphysematous pyelitis necessitates prompt diagnosis, often aided by CT scans.
- Effective management involves antibiotics and drainage of the collecting system.
- This approach can lead to favorable outcomes and prevent the need for nephrectomy.
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