Emphysematous Pyelonephritis in a Diabetic Patient with Remarkable Radiological Findings and Excellent Outcome without Surgical Intervention or Drainage

BACKGROUND Emphysematous pyelonephritis (EPN) is a life-threatening infection of the renal parenchyma. The purpose of this report is to present a case of EPN with distinctive imaging. CASE REPORT An 87-year-old man with a history of type 2 diabetes mellitus presented to the ER with fever and shiveri...

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Bibliographic Details
Published in:The American journal of case reports 2020-09, Vol.21, p.e922974-e922974
Main Authors: Loupa, Chariclia V, Gkeka, Marina, Mitrakis, George
Format: Article
Language:English
Subjects:
Aged, 80 and over
Diabetes Complications
Diabetes Mellitus, Type 2 - complications
Drainage
Emphysema - complications
Emphysema - diagnostic imaging
Humans
Male
Pyelonephritis - complications
Pyelonephritis - diagnostic imaging
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Summary:BACKGROUND Emphysematous pyelonephritis (EPN) is a life-threatening infection of the renal parenchyma. The purpose of this report is to present a case of EPN with distinctive imaging. CASE REPORT An 87-year-old man with a history of type 2 diabetes mellitus presented to the ER with fever and shivering, hypotension, and anuria, which is a clinical presentation of septic shock. He had recently been hospitalized at another hospital due to myocardial infarction and ischemic stroke, where a temporary urinary catheter was placed. Upon physical examination, he had right lateral abdominal pain with extension to the right renal region. Laboratory studies showed leucocytosis (WBC: 24 320/μl with 94.4% polymorphonuclear), elevated C-reactive protein 340 mg/l (NV
ISSN:1941-5923
1941-5923
DOI:10.12659/AJCR.922974