Related Experiment Videos
[Emphysematous pyelonephritis]
R J Valbuena Alvarez1, J L Cajide Montero, J L Santos-Ascarza Tabares
1Servicio de Urología, Residencia Cristal-Piñor, Orense.
Objective:
To present an uncommon but startling case of a urinary tract infectious disease such as renal emphysematous pyelonephritis.
Method/Results:
We report the case of a decompensated diabetic female patient who presented an intrarenal infectious picture with gas formation compatible with emphysematous pyelonephritis that showed good evolution following medical treatment and simple nephrectomy surgery.
Conclusions:
Emphysematous pyelonephritis is a serious infective disease that occurs almost exclusively in diabetic patients and requires a fast and correct diagnosis differentiating between diffuse from focused processes in order to advise conservative or aggressive therapy on the renal unit (percutaneous drainage/nephrectomy), based on immediate hemodynamic and antibiotic medical support, due to its serious prognosis such as is described in the literature.