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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
PubMed
Summary

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.

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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 pyelonephritisFlank painNephrectomy

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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.