Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication

Emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC) are severe, necrotizing emphysematous urinary tract infections (EUTI) characterized by the presence of gas in the lumen and wall of the urinary tract and renal parenchyma. EUTIs are quite uncommon, but combination of bilateral EPN an...

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Published in:Research and reports in urology 2021-01, Vol.13, p.375-379
Main Authors: Godzisz, Michał, Mitura, Przemysław, Widz, Damian, Sudoł, Damian, Kuliniec, Iga, Bar, Krzysztof
Format: Article
Language:English
Subjects:
Abdomen
Antibiotics
Bladder
Case Report
Case reports
Catheters
Cystitis
Diabetes
Diabetes mellitus
Disease
E coli
emphysematous cystitis
emphysematous pyelonephritis
Fever
Glomerulonephritis
Hemodialysis
Hospitalization
Hospitals
Kidneys
Laboratories
Medical imaging
Mortality
Pain
Parenchyma
Pathogens
Patients
Pyelonephritis
Risk factors
Sepsis
Septic shock
Steroids
Urinary tract
Urinary tract diseases
urinary tract infections
Urine
Urogenital system
Urology
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Bar, Krzysztof
description Emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC) are severe, necrotizing emphysematous urinary tract infections (EUTI) characterized by the presence of gas in the lumen and wall of the urinary tract and renal parenchyma. EUTIs are quite uncommon, but combination of bilateral EPN and EC is extremely rare. We report a case of 57-year-old diabetic female diagnosed with septic shock due to concurrent bilateral EPN and EC. Patient was successfully treated with a drainage of pelvicalyceal systems and the bladder combined with a conservative approach. This unique case presents a possible association between glomerulonephritis and EUTI.
doi_str_mv 10.2147/RRU.S315755
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source Taylor & Francis Open Access; Publicly Available Content Database; PubMed
subjects Abdomen
Antibiotics
Bladder
Case Report
Case reports
Catheters
Cystitis
Diabetes
Diabetes mellitus
Disease
E coli
emphysematous cystitis
emphysematous pyelonephritis
Fever
Glomerulonephritis
Hemodialysis
Hospitalization
Hospitals
Kidneys
Laboratories
Medical imaging
Mortality
Pain
Parenchyma
Pathogens
Patients
Pyelonephritis
Risk factors
Sepsis
Septic shock
Steroids
Urinary tract
Urinary tract diseases
urinary tract infections
Urine
Urogenital system
Urology
title Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication
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