Abah, Udo
June 2009
Foundation Years Journal;Jun2009, Vol. 3 Issue 5, p20
Academic Journal
Case Study
Introduction - Emphysematous pyelonephritis (EPN) is an acute necrotising infection associated with high morbidity and mortality. It is strongly associated with diabetes mellitus and commonly linked with ureteric obstruction. Management includes: parenteral antibiotics; percutaneous drainage; and nephrectomy as indicated. Case Report - A 35-year-old non-diabetic female with a history of urolithiasis presented with loin pain. CT scan revealed bilateral EPN. Initial cultures of aspirate from a perinephric collection grew streptococcus milleri and multiple anaerobes. Treatment entailed high-dose antibiotics and percutaneous drainage. The patient made a good recovery and was discharged home after 38 days of hospitalisation.


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