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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
PubMed
Summary
This summary is machine-generated.

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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.

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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.