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Emphysematous pyelonephritis: Is nephrectomy warranted?
INTRODUCTION: Emphysematous pyelonephritis (EPN) is associated with high mortality rate, up to 25%. There is still conflicting reports regarding the most appropriate management, conservative versus nephrectomy. OBJECTIVE: To describe the outcome of patients with EPN. METHODS: We retrospectively revi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660703/ https://www.ncbi.nlm.nih.gov/pubmed/26692672 http://dx.doi.org/10.4103/0974-7796.158503 |
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author | Alsharif, Mada Mohammedkhalil, Abdullah Alsaywid, Basim Alhazmy, Ali Lamy, Salahadin |
author_facet | Alsharif, Mada Mohammedkhalil, Abdullah Alsaywid, Basim Alhazmy, Ali Lamy, Salahadin |
author_sort | Alsharif, Mada |
collection | PubMed |
description | INTRODUCTION: Emphysematous pyelonephritis (EPN) is associated with high mortality rate, up to 25%. There is still conflicting reports regarding the most appropriate management, conservative versus nephrectomy. OBJECTIVE: To describe the outcome of patients with EPN. METHODS: We retrospectively reviewed the medical records of patients diagnosed with EPN by computed tomography from three tertiary institutes in Jeddah, Saudi Arabia. Type of management was classified as conservative and surgical. The conservative includes medical and minimally invasive procedures, such as percutaneous drainage and nephrostomy. The surgical which is nephrectomy. The outcome observed was preservation of the kidney function or patient's life. RESULTS: A total of 10 patients were included (9 females and 1 male), median age was 55 years and 63% were diabetic. The most common presentation was flank pain (100%), fever (75%), and vomiting (63%). The most common organism isolated was Escherichia coli. Nephrectomy was not associated with increased survival rate, while conservative management was associated with a good outcome, less morbidity (not dialysis-dependent). CONCLUSION: Nephrectomy was not associated with high survival rate. Patients managed conservatively had a better overall performance and better survival. This study will add to other studies, which are encouraging conservative management. |
format | Online Article Text |
id | pubmed-4660703 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-46607032015-12-11 Emphysematous pyelonephritis: Is nephrectomy warranted? Alsharif, Mada Mohammedkhalil, Abdullah Alsaywid, Basim Alhazmy, Ali Lamy, Salahadin Urol Ann Original Article INTRODUCTION: Emphysematous pyelonephritis (EPN) is associated with high mortality rate, up to 25%. There is still conflicting reports regarding the most appropriate management, conservative versus nephrectomy. OBJECTIVE: To describe the outcome of patients with EPN. METHODS: We retrospectively reviewed the medical records of patients diagnosed with EPN by computed tomography from three tertiary institutes in Jeddah, Saudi Arabia. Type of management was classified as conservative and surgical. The conservative includes medical and minimally invasive procedures, such as percutaneous drainage and nephrostomy. The surgical which is nephrectomy. The outcome observed was preservation of the kidney function or patient's life. RESULTS: A total of 10 patients were included (9 females and 1 male), median age was 55 years and 63% were diabetic. The most common presentation was flank pain (100%), fever (75%), and vomiting (63%). The most common organism isolated was Escherichia coli. Nephrectomy was not associated with increased survival rate, while conservative management was associated with a good outcome, less morbidity (not dialysis-dependent). CONCLUSION: Nephrectomy was not associated with high survival rate. Patients managed conservatively had a better overall performance and better survival. This study will add to other studies, which are encouraging conservative management. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4660703/ /pubmed/26692672 http://dx.doi.org/10.4103/0974-7796.158503 Text en Copyright: © Urology Annals http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Alsharif, Mada Mohammedkhalil, Abdullah Alsaywid, Basim Alhazmy, Ali Lamy, Salahadin Emphysematous pyelonephritis: Is nephrectomy warranted? |
title | Emphysematous pyelonephritis: Is nephrectomy warranted? |
title_full | Emphysematous pyelonephritis: Is nephrectomy warranted? |
title_fullStr | Emphysematous pyelonephritis: Is nephrectomy warranted? |
title_full_unstemmed | Emphysematous pyelonephritis: Is nephrectomy warranted? |
title_short | Emphysematous pyelonephritis: Is nephrectomy warranted? |
title_sort | emphysematous pyelonephritis: is nephrectomy warranted? |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660703/ https://www.ncbi.nlm.nih.gov/pubmed/26692672 http://dx.doi.org/10.4103/0974-7796.158503 |
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