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Journal of Case Reports
Emphysematous Pyelonephritis

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Wasil Rasool Sheikh, Tirtha Mukherjee, Sunil Choudhary
Department of Emergency Medicine, The Mission Hospital, Durgapur, West Bengal - 713212, India.
Corresponding Author:
Dr. Wasil Rasool Sheikh
Email: wasil.sheikh@hotmail.com
Received: 16-JAN-2015 Accepted: 13-MAR-2015 Published Online: 05-APR-2015
DOI: http://dx.doi.org/10.17659/01.2015.0036
Abstract
Emphysematous pyelonephritis is a gas-producing necrotizing bacterial infection that involves the renal parenchyma and perirenal tissue. We report a case of diabetes mellitus that presented to the emergency department with abdominal pain, decreased urine output and altered mental status and was diagnosed as emphysematous pyelonephritis with severe uro-sepsis. Early recognition in the emergency department prompted aggressive medical management followed by percutaneous drainage due to which patient was successfully treated. Early diagnosis and management is a key to the prognosis in emphysematous pyelonephritis.
Keywords : Abdominal Pain, Pyelonephritis, Sepsis, Kidney, Drainage, Diabetes Mellitus.
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