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Updated: May 23, 2026
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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
Published on: July 18, 2017
Conservative management of emphysematous pyelonephritis
Bashir Ahmad Laway1, Manzoor Ahmad Bhat, Mir Iftikhar Bashir
1Department of Endocrinology, Sher-I-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
Indian Journal of Endocrinology and Metabolism
|April 4, 2012
Summary
Emphysematous pyelonephritis is a severe kidney infection often requiring surgery. This case demonstrates successful medical management of this condition, even with complications like acute renal failure.
Area of Science:
- Nephrology
- Infectious Diseases
Background:
- Emphysematous pyelonephritis is a rare but serious necrotizing kidney infection.
- It disproportionately affects patients with diabetes mellitus.
- Surgical intervention is typically the preferred treatment modality.
Observation:
- A case study of an elderly female patient with emphysematous pyelonephritis.
- The patient presented with significant comorbidities, including acute renal failure and thrombocytopenia.
- These factors are generally considered adverse prognostic indicators.
Findings:
- The patient was successfully treated with medical management alone.
- Conservative treatment resolved the emphysematous pyelonephritis despite the poor prognostic signs.
- This challenges the universal recommendation for surgical intervention.
Implications:
- Medical management can be a viable alternative to surgery for select emphysematous pyelonephritis cases.
- Careful patient selection and monitoring are crucial for successful non-operative treatment.
- This approach may offer benefits for patients with high surgical risk.
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