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[Emphysematous pyelonephritis: report of a case]
Hinyokika Kiyo. Acta Urologica Japonica
|December 1, 1985
Summary
Emphysematous pyelonephritis, a rare kidney infection with gas formation, requires prompt diagnosis and treatment. This case highlights the importance of nephrectomy in managing severe infections, especially in diabetic patients.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelonephritis is a rare, severe necrotizing infection of the renal pelvis and parenchyma.
- Diabetes mellitus is a significant risk factor, often associated with poor outcomes.
Observation:
- A 49-year-old male with diabetes presented with fever and right flank pain.
- KUB imaging revealed gas filling the right ureter, pelvis, and calyces.
- Despite antibiotic treatment, fever persisted, necessitating right nephrectomy.
Findings:
- The patient's fever resolved post-nephrectomy, with discharge on the 30th postoperative day.
- Literature search identified only 17 previously reported cases in Japan.
- The case underscores the diagnostic and therapeutic challenges of this condition.
Implications:
- Early recognition and aggressive management, including surgical intervention, are crucial for favorable outcomes.
- Further research into the etiology and optimal treatment strategies for emphysematous pyelonephritis is warranted.
- This case contributes to the limited understanding of this rare renal infection.