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Case Reports
. 2005 Feb;2(2):108-12.
doi: 10.1038/ncpuro0095.

Emphysematous pyelonephritis

Mohammed Nayeemuddin  1 , Oliver J Wiseman, Alan G Turner
Affiliations
Case Reports

Emphysematous pyelonephritis

Mohammed Nayeemuddin et al. Nat Clin Pract Urol. 2005 Feb.

Abstract

Background: A 54-year-old nondiabetic male presented with high fever, vague lower abdominal pain and leakage of urine around his long-standing suprapubic catheter. Examination revealed pyrexia and tenderness in the right renal angle. White cell count was 22.8 x 10(9)/l. Plain abdominal X-ray showed calculi in the right kidney, ureter and bladder. Intravenous pyelogram showed gas confined to the right upper renal pelvis and perinephric space.

Investigations: Urine and blood cultures, plain abdominal X-ray, intravenous pyelogram, abdominal ultrasound, MAG3 renogram and histopathology.

Diagnosis: Emphysematous pyelonephritis: class 2 or type 1. Escherichia coli was isolated from urine obtained by endoscopic drainage.

Management: Endoscopic drainage of pus and simple nephrectomy.

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