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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis

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Emphysematous pyelonephritis: A rare case report from Syria.

Maher Al-Hajjaj¹, Mohamed Tallaa²

¹Aleppo University Hospital, Aleppo, Syria.

Annals of Medicine and Surgery (2012)

|February 11, 2022

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Emphysematous pyelonephritis, a severe kidney infection, requires prompt diagnosis and treatment. This case highlights the need for early intervention, including potential nephrectomy, for better patient outcomes.

Area of Science:

Nephrology
Infectious Diseases
Radiology

Background:

Emphysematous pyelonephritis is a rare, severe necrotizing kidney infection.
Early diagnosis is critical due to a poor prognosis.
Treatment options range from antibiotics to nephrectomy.

Observation:

A 67-year-old female with uncontrolled diabetes presented with fever, flank pain, and dysuria.
Computed tomography revealed gas within the right kidney.
The patient underwent intravenous antibiotics followed by a right nephrectomy.

Findings:

Emphysematous pyelonephritis is an emergent condition.
Uncontrolled diabetes mellitus, flank pain, and fever are key indicators.
Computed tomography is essential for diagnosis.

Keywords:

Emphysematous pyelonephritis Flank pain Nephrectomy

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Implications:

Severe emphysematous pyelonephritis necessitates emergent nephrectomy.
Prompt diagnosis and surgical intervention improve patient outcomes.
Management requires a multidisciplinary approach involving infectious disease specialists and surgeons.