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Published on: July 18, 2017
Sepsis caused by emphysematous pyelonephritis: A case report
1Department of Intensive Care Unit, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, China.
Emphysematous pyelonephritis (EPN) is a severe kidney infection. Early diagnosis with CT scans and prompt antibiotic treatment, like meropenem, leads to significant symptom improvement.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelonephritis (EPN) is a rare, necrotizing infection of the kidney parenchyma.
- It is frequently associated with poorly controlled diabetes mellitus.
Observation:
- A 64-year-old woman presented with fever and weakness.
- Diagnostic workup revealed emphysematous pyelonephritis and sepsis.
Findings:
- Non-contrast abdominal CT is effective for diagnosing EPN.
- Escherichia coli is the most common causative pathogen.
- Conservative management with meropenem and supportive care resulted in significant clinical improvement.
Implications:
- Timely diagnosis and appropriate treatment are crucial for favorable outcomes in EPN.
- This case highlights the importance of prompt recognition and management of this life-threatening condition.
- Further research into optimal treatment strategies for EPN is warranted.
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