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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
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A Rare Case of Pneumoureter: Emphysematous Pyelitis versus Emphysematous Pyelonephritis
Rudresh Hiremath1, Mahesh2, Krishna Prasanthi Padala2
1Associate Professor, Department of Radiodiagnosis, K V G Medical College & Hospital , Sullia, Dakshina Kannada, Karnataka, India .
Journal of Clinical and Diagnostic Research : JCDR
|December 18, 2015
Summary
Emphysematous pyelonephritis, a severe kidney infection with gas formation, can manifest in patients without diabetes. This case highlights its presentation alongside new-onset hyperglycemia, emphasizing diagnostic distinctions.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelitis is a rare condition characterized by gas in the urinary tract due to bacterial infection.
- Emphysematous pyelonephritis (EPN) is a more severe necrotizing infection of the kidney with gas formation.
Observation:
- A case report details a patient with no prior history of diabetes or urinary obstruction presenting with new-onset uncontrolled hyperglycemia.
- The patient was diagnosed with emphysematous pyelonephritis, not emphysematous pyelitis.
Findings:
- The case underscores that emphysematous pyelonephritis can be the initial presentation of diabetes.
- Distinguishing between EPN and emphysematous pyelitis is crucial for appropriate management.
- Imaging plays a key role in differentiating these two entities.
Implications:
- This case highlights the importance of considering EPN in patients with new-onset hyperglycemia, even without typical risk factors.
- Early and accurate diagnosis based on imaging is vital for timely intervention and improved patient outcomes.
- Further research into the specific mechanisms and risk factors for EPN in non-diabetic individuals may be warranted.
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