Contralateral necrotizing fascitis after left nephrectomy for emphysematous pyelonephritis

Introduction Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma. The management is variable, extending to total nephrectomy in severe or refractory cases. Post‐nephrectomy complications are numerous and common, necrotizing fasciitis, and sepsis being among them. C...

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Bibliographic Details
Published in:IJU case reports 2022-11, Vol.5 (6), p.511-514
Main Authors: Fuentes, Alberto, Rojas, Pablo A, Valle, Felipe, Ortega, Carlidia, Bravo, Juan Cristobal, Kompatzki, Álvaro
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Antibiotics
Bacterial infections
Case Report
Case Reports
Creatinine
Debridement
Edema
fasciitis
Infections
Laboratories
Medical imaging
Mortality
necrotizing
Necrotizing fasciitis
negative‐pressure wound therapy
Patients
Proteins
pyelonephritis
Sepsis
Thrombocytopenia
Urine
Wound healing
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Summary:Introduction Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma. The management is variable, extending to total nephrectomy in severe or refractory cases. Post‐nephrectomy complications are numerous and common, necrotizing fasciitis, and sepsis being among them. Case presentation We present a case of a 37‐year‐old woman with obesity and a previous left emphysematous pyelonephritis episode managed conservatively. The patient presented with a second left emphysematous pyelonephritis and underwent a left total nephrectomy. Two weeks later, the patient presented with a contralateral necrotizing fasciitis of the abdominal wall. Subsequently, the patient required several surgical debridement procedures and a vacuum‐assisted closure system treatment. Conclusion Emphysematous pyelonephritis is an aggressive infectious disease that requires high suspicion in patients at risk.
ISSN:2577-171X
2577-171X
DOI:10.1002/iju5.12528