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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
Published on: July 18, 2017
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Emphysematous Pyelonephritis with Renal Artery Pseudoaneurysm
1Section of Urology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Urology Case Reports
|April 25, 2017
Summary
Emphysematous pyelonephritis, a severe kidney infection with gas formation, can be life-threatening. This case highlights a severe presentation and successful management of a patient with Klebsiella urosepsis.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelonephritis is a necrotizing renal infection characterized by gas in the renal parenchyma and collecting system.
- It is typically caused by gas-forming bacteria, with Klebsiella species being a common culprit.
- This severe condition is associated with significant morbidity and mortality.
Observation:
- A case of severe emphysematous pyelonephritis in a patient with Klebsiella urosepsis is presented.
- Surgical exploration revealed extensive infectious disintegration of the renal parenchyma.
- Post-operative complications included renal artery pseudoaneurysm and a perinephric fluid collection with cutaneous fistulization.
Findings:
- Despite the severity and potential for high mortality, the patient survived the emphysematous pyelonephritis.
- Successful management involved surgical intervention and supportive care.
- The patient remained clinically well following treatment.
Implications:
- This case underscores the importance of prompt diagnosis and aggressive management of emphysematous pyelonephritis.
- It demonstrates that even severe cases can have favorable outcomes with appropriate treatment.
- Further research into optimal management strategies for this challenging infection is warranted.
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