TITLE

BILATERAL EMPHYSEMATOUS PYELONEPHRITIS: A CASE REPORT

AUTHOR(S)
Abah, Udo
PUB. DATE
June 2009
SOURCE
Foundation Years Journal;Jun2009, Vol. 3 Issue 5, p20
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
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.
ACCESSION #
43938565

 

Related Articles

  • GLOMERULOPATIA LUSZCZYCOWA - OPIS DW�CH PRZYPADK�W. Feledyk, Justyna; Jarmolinski, Tomasz; Urasinska, Elzbieta // Przeglad Pediatryczny;2012, Vol. 42 Issue 2, p107 

    Psoriasis is a systemic autoimmunological disease with nephrological complications resulting from drugs nephrotoxicity or amyloidosis. Glomerulonephritides are relatively seldom diagnosed and till now only about 40 cases have been reported. The aim of our report was to present clinical and...

  • SKUTECZNE LECZENIE KAMICY ODLEWOWEJ (CYSTYNOWEJ) PECHERZA MOCZOWEGO U 2,5-ROCZNEJ DZIEWCZYNKI -- OPIS PRZYPADKU. Rogowska-Kalisz, Anna; Zeman, Krzysztof; Jask�lska, Elzbieta; Tkaczyk, Marcin // Przeglad Pediatryczny;2012, Vol. 42 Issue 2, p92 

    Introduction: Cystine stones in children are detected in subjects with a rare inherited defect - cystinuria. This type of urolithiasis may progress to chronic kidney disease when not diagnosed early. Aim of the study was to describe a case of a 2.5-year-old girl with cystine stones in the...

  • Urolitíase obstrutiva em touro Nelore no Recôncavo da Bahia. Santana de Oliveira, Ricardo; Silva Almeida Macedo, Juliana Targino; Pereira Lents, Maicon; Meira da Silva, Reanne Moraes; dos Anjos Ferreira, Eucimar; Emydio Gomes Pinheiro, Emmanuel; Nunes Costa, Joselito; Ocampos Pedroso, Pedro Miguel // Acta Scientiae Veterinariae;SUP2013, Vol. 41 Issue S1, p1 

    Background: Urolithiasis is a metabolic disease of ruminants castrated and uncastrated. The formation of uroliths causes trauma and obstruction in the tract urinary. The nutrition and management are the main predisposing factors for this disease. Many cases occur sporadically, but outbreaks can...

  • Rapid onset renal deterioration in an adult with silent ureteropelvic junction obstruction. Hellenthal, Nicholas J.; Thomas, Sasha A.; Low, Roger K. // Indian Journal of Urology;Jan2009, Vol. 25 Issue 1, p132 

    We report a case of a rapid renal deterioration due to ureteropelvic junction obstruction (UPJO) in an asymptomatic woman with prior normal diuretic renography. This case illustrates "silent" renal obstruction and the inability of diuretic renography in detecting significant renal obstruction....

  • Emphysematous pyelonephritis: a case report. Tiratterra, Fabrizio; Feigusch, Ludovica; Villani, Chiara; Marchetti, Patrizia; Recine, Umberto // Italian Journal of Medicine;2015, Vol. 9 Issue 4, p370 

    Emphysematous pyelonephritis is a severe, life-threatening, necrotizing kidney disease. It occurs almost exclusively in patients with diabetes mellitus. The clinical manifestations are those of pyelonephritis such as dysuria, fever, nausea, vomiting and abdominal pain. The diagnosis is...

  • Ureteroscopic Treatment of Ureteral Calculi with Holmium YAG Laser Lithotripsy. Haowen Jiang; Zhong Wu; Qiang Ding; Yuanfang Zhang // Journal of Endourology;Feb2007, Vol. 21 Issue 2, p151 

    Purpose We evaluated the effectiveness and safety of holmium YAG laser lithotripsy with a semirigid ureteroscope for ureteral calculi in a prospective cohort of 697 patients.Patients and Methods Holmium YAG laser lithotripsy was performed with a semirigid ureteroscope in 697 inpatients between...

  • Safety And Efficacy of Ureteral Access Sheaths. Joshua M. Stern; Jenny Yiee; Sangtae Park // Journal of Endourology;Feb2007, Vol. 21 Issue 2, p119 

    The ureteral access sheath (UAS) was introduced as a means of passing a flexible ureteroscope. Although the device was initially lauded for its ability to facilitate ureteroscopic access, passage was difficult and risked ureteral injury, and the UAS fell out of favor until the development of a...

  • Massive steinstrasse without lithotripsy: a rare case report. Abdulmajed, Mohamed Ismat; Anandaram, Pallavoor Sudarsanam; Jones, Vaughan Wyn; Shergill, Iqbal Singh // Turkish Journal of Urology;Mar2013, Vol. 39 Issue 1, p61 

    The accumulation of ureteric stone fragments causing ureteric blockage is known as 'Steinstrasse' or 'Stone Street' and is usually described as a complication of shock-wave lithotripsy (SWL). We herein present a rare case of massive Steinstrasse in a young male patient with no previous history...

  • Emphysematous Pyelonephritis: Radiological Perspective. Ansari, S.; Ahmad, K.; Dhungel, K.; Sah, P. L.; Gupta, M. K.; Rauniyar, R. K. // Bangladesh Journal of Medical Science;Jan2013, Vol. 12 Issue 1, p93 

    Emphysematous pyelonephritis (EPN) is an acute necrotizing parenchymal and perirenal infection and is caused by gas-forming organisms. Diabetes mellitus and ureteric obstruction are the predisposing factors for EPN. Computerized tomography (CT) scan is the modality of choice in diagnosing the...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics