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Multiple gas emboli complicating an emphysematous pyelonephritis
Keyvan Razazi1,2, Alain Luciani3, Nicolas de Prost1,2
1AP-HP, Hôpitaux universitaires Henri Mondor, DHU A-TVB, Service de Réanimation Médicale, Créteil, 94010, France.
Idcases
|June 27, 2018
Summary
A rare case of emphysematous pyelonephritis led to septic shock and dangerous gas emboli in the pulmonary and coronary arteries. This case highlights the severe, multi-organ complications that can arise from this kidney infection.
Area of Science:
- Medicine
- Nephrology
- Cardiology
Background:
- Emphysematous pyelonephritis is a severe necrotizing infection of the kidney.
- It can lead to sepsis and significant morbidity.
Purpose of the Study:
- To report a rare case of emphysematous pyelonephritis.
- To describe its severe, multi-systemic complications.
Main Methods:
- Case report presentation.
- Review of clinical findings and imaging.
- Discussion of pathophysiology and management.
Main Results:
- The patient presented with emphysematous pyelonephritis.
- Complications included septic shock, pulmonary artery gas emboli, and coronary artery gas emboli.
- Transient cor pulmonale and acute coronary syndrome were observed.
Conclusions:
- Emphysematous pyelonephritis can cause life-threatening gas emboli in major arteries.
- Prompt recognition and management are crucial for patient outcomes.
- This case underscores the importance of considering vascular complications in severe pyelonephritis.
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