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A 57-year-old man presenting with bilateral flank pain and hematuria was found to have severe bilateral emphysematous pyelonephritis. The patient was managed with a conservative approach consisting of systemic antimicrobials and decompression via percutaneous nephrostomy tubes with piperacillin-tazobactam instillations via nephrostomy and made a full recovery.
Kangjam S.M., Irom K.S., Khumallambam I.S., Sinam R.S. Role of conservative management in emphysematous pyelonephritis - A retrospective study. J Clin Diagn Res. 2015;9(11):PC09–PC11. doi: 10.7860/JCDR/2015/16763.6795.
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Jain A., Manikandan R., Dorairajan L.N., Sreenivasan S.K., Bokka S. Emphysematous pyelonephritis: does a standard management algorithm and a prognostic scoring model optimize patient outcomes? Urol Ann. 2019;11(4):414–420. doi: 10.4103/UA.UA.
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Ubee S.S., McGlynn L., Fordham M. Emphysematous pyelonephritis. BJU Int. 2011;107(9):1474–1478. doi: 10.1111/j.1464-410X.2010.09660.
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