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[Emphysematous pyelonephritis]
E Sarmentero Ortiz1, R Morales Soriano
1Servicio de Urología, Hospital Can Misses, Ibiza.
Actas Urologicas Espanolas
|September 1, 1994
Summary
Emphysematous pyelonephritis is a rare, severe kidney infection typically seen in diabetic women with urinary obstruction. Prompt surgical intervention and antibiotics are crucial for survival due to its high mortality rate.
Area of Science:
- Nephrology
- Infectious Diseases
- Urology
Background:
- Emphysematous pyelonephritis (EPN) is a rare, severe necrotizing infection of the kidney.
- It predominantly affects diabetic patients with upper urinary tract obstruction.
- EPN carries a high mortality rate if not managed promptly.
Observation:
- This report details a case of EPN in a patient presenting with the typical risk factors: diabetes mellitus and upper urinary tract obstruction.
- The patient's clinical presentation highlighted the aggressive nature of the condition.
Findings:
- The case underscores the critical need for rapid diagnosis and intervention in suspected EPN.
- Successful management requires a combination of broad-spectrum antibiotics and urgent surgical or endourological procedures.
Implications:
- Early recognition and aggressive management are vital to improve outcomes for patients with emphysematous pyelonephritis.
- This case emphasizes the importance of considering EPN in diabetic patients with urinary symptoms and signs of severe infection.