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Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report
Emphysematous pyelonephritis (EPN) is a rare and serious complication of urinary tract infections that mainly occurs in diabetic patients. It results in the development of aerobic gas-forming bacteria1. Diagnosis is based mainly on a computed tomography scanner. Therapeutic management is based on th...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328602/ https://www.ncbi.nlm.nih.gov/pubmed/37427162 http://dx.doi.org/10.1097/MS9.0000000000000893 |
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author | Merbouh, Manal El Aidouni, Ghizlane Bkiyar, Houssam Housni, Brahim |
author_facet | Merbouh, Manal El Aidouni, Ghizlane Bkiyar, Houssam Housni, Brahim |
author_sort | Merbouh, Manal |
collection | PubMed |
description | Emphysematous pyelonephritis (EPN) is a rare and serious complication of urinary tract infections that mainly occurs in diabetic patients. It results in the development of aerobic gas-forming bacteria1. Diagnosis is based mainly on a computed tomography scanner. Therapeutic management is based on the patient’s clinical condition and radiological classification. CASE PRESENTATION: We present a case of a 64-year-old female patient with type 2 diabetes under insulin and hypertension under amlodipine, who was admitted to the intensive care unit for a state of septic shock on EPN. The patient received resuscitation measures and antibiotic therapy, and the evolution was favorable. The patient was transferred to the urology unit after 10 days of hospitalization in the intensive care unit. DISCUSSION: EPN is frequently caused by gram-negative cocci and generally develops in diabetics. The clinical signs of EPN are not very specific and are essentially based on the signs of acute pyelonephritis, which responds badly to treatment. CONCLUSIONS: It is essential to take preventive measures in diabetic patients to avoid this complication. Early diagnosis allows for avoiding surgery by preserving the kidney. |
format | Online Article Text |
id | pubmed-10328602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-103286022023-07-08 Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report Merbouh, Manal El Aidouni, Ghizlane Bkiyar, Houssam Housni, Brahim Ann Med Surg (Lond) Case Reports Emphysematous pyelonephritis (EPN) is a rare and serious complication of urinary tract infections that mainly occurs in diabetic patients. It results in the development of aerobic gas-forming bacteria1. Diagnosis is based mainly on a computed tomography scanner. Therapeutic management is based on the patient’s clinical condition and radiological classification. CASE PRESENTATION: We present a case of a 64-year-old female patient with type 2 diabetes under insulin and hypertension under amlodipine, who was admitted to the intensive care unit for a state of septic shock on EPN. The patient received resuscitation measures and antibiotic therapy, and the evolution was favorable. The patient was transferred to the urology unit after 10 days of hospitalization in the intensive care unit. DISCUSSION: EPN is frequently caused by gram-negative cocci and generally develops in diabetics. The clinical signs of EPN are not very specific and are essentially based on the signs of acute pyelonephritis, which responds badly to treatment. CONCLUSIONS: It is essential to take preventive measures in diabetic patients to avoid this complication. Early diagnosis allows for avoiding surgery by preserving the kidney. Lippincott Williams & Wilkins 2023-06-05 /pmc/articles/PMC10328602/ /pubmed/37427162 http://dx.doi.org/10.1097/MS9.0000000000000893 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Case Reports Merbouh, Manal El Aidouni, Ghizlane Bkiyar, Houssam Housni, Brahim Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
title | Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
title_full | Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
title_fullStr | Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
title_full_unstemmed | Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
title_short | Emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
title_sort | emphysematous pyelonephritis complicated by septic shock treated with antibiotic therapy alone: a case report |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328602/ https://www.ncbi.nlm.nih.gov/pubmed/37427162 http://dx.doi.org/10.1097/MS9.0000000000000893 |
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