Emphysematous Pyelonephritis Treated with Only Parenteral Antimicrobial Therapy

Year 2020, Volume: 15 Issue: 1, 47 - 51, 26.03.2020

Uğur Ergün , Ahmet Ürk , Fatih Erdem , Erdoğan Bülbül Ali Cem Yekdeş

https://doi.org/10.17517/ksutfd.655822

Cited By: 1

https://izlik.org/JA89JC98BZ

Abstract

Emphysematous pyelonephritis is a highly mortal, acute necrotizing disease charactarized by gas formation in either renal parenchyma or perirenal area. Although it is seen quite rare; it usually diagnosed in diabetes mellitus patients. Predominantly it is caused by microorganism Escherichia coli, many other possible microorganism can play a role. It is diagnosed with clinical assesment, radiological imaging and labrotary results. It can be treated with parenteral antibiotic therapy, percutaneous drainage or nephrectomy. There are a small proportion of patients whom can be treated with antibiotic treatment only. In this case report, we will discuss a patient with type 2 emphysematous pyelonephritis whom received only antibiotic treatment and showed clinical improvement. The patient signed a conset form to allow us share her personel data.

Keywords

Emphysematous pyelonephritis , , diabetes mellitus , antibiotherapy

References

• 1. Michaeli J, Mogle P, Perlberg S, Hemiman S, Caine M. Emphysematous pyelonefrit. J. Urol. 1984; 131: 203–8.
• 2. Shokeir AA, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis 15-year experience with 20 cases. Urology 1997;49:343-6.
• 3. Turney JH. Renal conservation for gas forming infections. Lancet. 2000;355:770–1.
• 4. Aswathaman K, Gopalakrishnan G, Gnanaraj L, Chacko NK, Kekre NS, Devasia A. Emphysematous pyelonephritis: Outcome of conservative management. Urology. 2008;71:1007–9
• 5. Ellenbogen PH, Talner LB. Uroradiology of diabetes mellitus. Urology 1976;8:413-9.
• 6. Terrance P, Suzanne E, Nathaniel J. Bilateral emphysematous pyelonephritis. Am J Emerg Med 1998;16:166-9.
• 7. Sokhal AK, Kumar M, Purkait B ve ark.Amfizematöz piyelonefrit: Klinik spektrumun değişme eğilimi, patogenez, tedavi ve sonuç. Turk J Urol. 2017; 43 (2): 202-209.
• 8. Patterson JE, Andriole VD: Bacterial urinary tract infections in diabetics. İnfect Dis Clin North Am 9: 25, 1995.
• 9. Cook DJ, Achong MR, Dobranowshi J: Emphysematous pyelonephritis complicated UTI in diabetes. Diabetes Care, 12: 229, 1989.
• 10. Evanoff GV, Thompson CS, Foley R, et al. Spectrum of gas within the kidney: Emphysematous pyelonephritis and emphysematous pyelitis. Am J Med 1987;83:149-54.