A case of emphysematous pyelonephritis

Clark, Thomas, Abdelkareem, Mei and Ali, Khalid (2009) A case of emphysematous pyelonephritis. Journal of the Royal Society of Medicine, 102 (2). pp. 75-77. ISSN 0141-0768

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Abstract

Emphysematous pyelonephritis (EPN) is a rare but life-threatening, fulminant, necrotizing infection of the renal and perirenal tissues that is characterized by gas formation. In this case a 34-year-old woman with poorly controlled diabetes presented with symptoms indicative of a severe pyelonephritis. Following a failed response to initial treatment measures, a diagnosis of EPN was made following a CT scan. With aggressive fluid resuscitation, antibiotics and decompression with nephrostomy, the patient improved and avoided surgical intervention. The diagnosis, classification and treatment of EPN are discussed.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Clinical Medicine
Subjects: R Medicine > RC Internal medicine > RC0581 Specialties of internal medicine > RC0952 Geriatrics
Depositing User: Simone Breckell
Date Deposited: 13 May 2013 12:25
Last Modified: 13 May 2013 12:25
URI: http://sro.sussex.ac.uk/id/eprint/44694
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