TY - JOUR TT - Emphysematous Pyelonephritis Treated with Only Parenteral Antimicrobial Therapy AU - Ergün, Uğur AU - Ürk, Ahmet AU - Erdem, Fatih AU - Bülbül, Erdoğan AU - Yekdeş, Ali Cem PY - 2020 DA - March Y2 - 2020 DO - 10.17517/ksutfd.655822 JF - Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi JO - KSU Medical Journal PB - Kahramanmaraş Sütçü İmam Üniversitesi WT - DergiPark SN - 1303-6610 SP - 47 EP - 51 VL - 15 IS - 1 LA - en KW - Emphysematous pyelonephritis KW - KW - diabetes mellitus KW - antibiotherapy N2 - 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. CR - 1. Michaeli J, Mogle P, Perlberg S, Hemiman S, Caine M. Emphysematous pyelonefrit. J. Urol. 1984; 131: 203–8. CR - 2. Shokeir AA, El-Azab M, Mohsen T, El-Diasty T. Emphysematous pyelonephritis 15-year experience with 20 cases. Urology 1997;49:343-6. CR - 3. Turney JH. Renal conservation for gas forming infections. Lancet. 2000;355:770–1. CR - 4. Aswathaman K, Gopalakrishnan G, Gnanaraj L, Chacko NK, Kekre NS, Devasia A. Emphysematous pyelonephritis: Outcome of conservative management. Urology. 2008;71:1007–9 CR - 5. Ellenbogen PH, Talner LB. Uroradiology of diabetes mellitus. Urology 1976;8:413-9. CR - 6. Terrance P, Suzanne E, Nathaniel J. Bilateral emphysematous pyelonephritis. Am J Emerg Med 1998;16:166-9. CR - 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. CR - 8. Patterson JE, Andriole VD: Bacterial urinary tract infections in diabetics. İnfect Dis Clin North Am 9: 25, 1995. CR - 9. Cook DJ, Achong MR, Dobranowshi J: Emphysematous pyelonephritis complicated UTI in diabetes. Diabetes Care, 12: 229, 1989. CR - 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. UR - https://doi.org/10.17517/ksutfd.655822 L1 - https://dergipark.org.tr/tr/download/article-file/1024607 ER -