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Review
. 2002 Jun 3:3:4.
doi: 10.1186/1471-2369-3-4.

Acute bilateral emphysematous pyelonephritis successfully managed by medical therapy alone: a case report and review of the literature

Guillermo Flores  1 , Haiko Nellen, Francisco Magaña, Juan Calleja
Affiliations
Review

Acute bilateral emphysematous pyelonephritis successfully managed by medical therapy alone: a case report and review of the literature

Guillermo Flores et al. BMC Nephrol. .

Abstract

Background: Bilateral emphysematous pyelonephritis is a life threatening condition usually occurring in diabetics. Management of this condition has traditionally been aggressive and surgery is considered mandatory. However, this is itself a hazardous intervention in a septic, unstable patient with circulatory or liver failure. When bilateral disease is present, the need for long-term dialysis is obviously unavoidable.

Case presentation: We herein report one of the few cases of bilateral emphysematous pyelonephritis successfully managed by non-surgical treatment.

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Figures

Figure 1
Figure 1
An abdominal computed tomography scan showed diffusely enlarged kidneys, with perinephric edema, extensive gas in the renal tissues and perinephric areas bilaterally.
See this image and copyright information in PMC

References

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