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Emphysematous pyelonephritis responding to medical therapy
J Punnose1, T M Yahya, J S Premchandran
1Department of Internal Medicine, Al Ain Hospital, United Arab Emirates.
International Journal of Clinical Practice
|April 16, 1998
Abstract:
We describe two type 2 diabetic patients with unilateral emphysematous pyelonephritis who responded to medical treatment alone. Escherichia coli was isolated in both patients. The presence of gas was confirmed early by ultrasound and CT scan of abdomen. Following treatment, good functional recovery was demonstrable in the affected kidneys by isotope renogram. We stress the need for early diagnosis of this condition and aggressive treatment with broad spectrum antibiotics.