Emphysematous pyelonephritis in the setting of diabetes mellitus.

Abstract

INTRODUCTION:

Emphysematous pyelonephritis (EPN) is a rare, life threatening, upper urinary tract infection with high mortality rate.

CASE REPORT:

We report a type-2 diabetes mellitus patient presenting with persistent fever, vomiting and pyuria despite appropriate treatment, diagnosed as a case of EPN, recovered without any surgical intervention.

CONCLUSION:

Suspicion of EPN should be entertained in diabetes mellitus patient with persistent pyuria and deteriorating condition despite adequate treatment with antibiotics.

• Authors: Priyanka Gupta, Rahul Gupta, Ketki Jandial, Sumeet Samotra, Vikram Rana, Rajesh Gupta, Sunil Gupta, Jitendra Singh
• Journal: The Journal of the Association of Physicians of India (J Assoc Physicians India) Vol. 59 Pg. 119-20 (Feb 2011) ISSN: 0004-5772 [Print] India
• PMID: 21751652 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Infective Agents
• Hypoglycemic Agents
• Thienamycins
• Metronidazole
• Meropenem

Topics

• Anti-Infective Agents (therapeutic use)
• Diabetes Mellitus, Type 2 (complications, drug therapy)
• Diagnosis, Differential
• Emphysema (complications, diagnosis, drug therapy, microbiology)
• Escherichia coli (isolation & purification)
• Escherichia coli Infections (complications, diagnosis, microbiology)
• Female
• Follow-Up Studies
• Humans
• Hypoglycemic Agents (therapeutic use)
• Meropenem
• Metronidazole (therapeutic use)
• Middle Aged
• Pyelonephritis (complications, diagnosis, drug therapy, microbiology)
• Thienamycins (therapeutic use)
• Tomography, X-Ray Computed
• Treatment Outcome
• Urinary Tract Infections (complications, diagnosis, microbiology)