Bilateral emphysematous pyelonephritis

Terrance P McHugh; Suzanne E Albanna; Nathaniel J Stewart

doi:10.1016/S0735-6757(98)90038-9

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Bilateral emphysematous pyelonephritis

Terrance P McHugh, MD

Suzanne E Albanna, MD

Nathaniel J Stewart, MD

From the Department of Emergency Medicine, Richland Memorial Hospital, Columbia, SC. USA

DOI: http://dx.doi.org/10.1016/S0735-6757(98)90038-9

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Abstract

In any diabetic patient being diagnosed or treated for pyelonephritis, it is important to exclude the diagnosis of emphysematous pyelonephritis, which carries a high mortality rate. The authors present an illustrative case of emphysematous pyelonephritis treated with antibiotics and emergency nephrectomy. The signs, symptoms, pathophysiology, diagnosis, and treatment of emphysematous pyelonephritis are discussed.

Keywords:

Emphysematous pyelonephritis, diabetes

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Bilateral emphysematous pyelonephritis

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Abstract

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