Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient

We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and cap...

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Detalles Bibliográficos
Autores principales: He, Yayi, Shi, Bingyin, Wu, Xiaoyan, Hou, Peng, Wang, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3981338/
https://www.ncbi.nlm.nih.gov/pubmed/24765413
http://dx.doi.org/10.4081/cp.2012.e14
Descripción
Sumario:We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consideration in diabetic patients with symptoms of pyelonephritis who show a poor response to conventional treatment. Elective nephrectomy may be life saving in some patients.

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