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[Emphysematous pyelonephritis]

J Rosado1, A P Fernandes, C Aleluia

  • 1Serviço de Medicina 2, Urologia e Radiologia, Hospital de Curry Cabral, Lisboa.

Acta Medica Portuguesa
|June 1, 1993
PubMed
Summary
This summary is machine-generated.

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Emphysematous pyelonephritis, a severe kidney infection caused by E. coli, was diagnosed in a diabetic patient using advanced imaging. Treatment involving percutaneous nephrostomy and medication led to a positive outcome.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • Emphysematous pyelonephritis is a rare, aggressive necrotizing infection of the renal pelvis.
  • Diabetes mellitus is a significant risk factor, often associated with poor treatment outcomes.

Observation:

  • A 63-year-old female diabetic patient presented with symptoms suggestive of a complicated urinary tract infection.
  • Diagnostic imaging, including plain abdominal X-ray, ultrasonography, and computed tomography, was crucial for identifying gas within the renal parenchyma and collecting system.

Findings:

  • The patient was diagnosed with emphysematous pyelonephritis attributed to Escherichia coli (E. coli) infection.
  • Multimodality imaging confirmed the diagnosis and extent of the disease.

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Implications:

  • Prompt diagnosis and intervention are critical for managing this life-threatening condition.
  • Percutaneous nephrostomy combined with appropriate antibiotic therapy can lead to favorable clinical outcomes, even in severe cases.
  • This case highlights the importance of imaging in diagnosing emphysematous pyelonephritis in diabetic patients.