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Emphysematous Pyelonephritis: Bedside Ultrasound Diagnosis in the Emergency Department
Gillian McCafferty1, Amanda Shorette2, Sukhdeep Singh2
1Lahey Hospital and Medical Center, Department of Emergency Medicine, Burlington, Massachusetts.
Abstract:
Emphysematous pyelonephritis (EPN) is a rare, life-threatening infection, and misdiagnosis as uncomplicated pyelonephritis is potentially fatal. Point-of-care ultrasound (POCUS) is a valuable tool for evaluation of the kidneys in patients with septic shock and pyelonephritis. While used primarily to assess for the complication of obstruction and hydronephrosis, POCUS may also detect signs of EPN and prompt surgical consultation for nephrectomy. We present a case in which the emergency physician diagnosed EPN by POCUS in a patient with septic shock and pyelonephritis.
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