| Emphysematous pyelonephritis. Case report | |
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MedLine Citation:
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PMID: 19736372 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe an unusual case of emphysematous pyelonephritis, a disease with high morbidity and mortality. METHODS: We present the case of a 62-year old diabetic female with history of kidney stones, who consulted for fever, left lower-back pain and impairment of the general condition. Abdominopelvic computed tomography revealed a perinephric collection of air reaching the abdominal wall. RESULTS: After initial medical management with antibiotics and general supportive measures, we performed an open incision and drainage. A week later, signs of sepsis reappeared and the left kidney was excised. The patient died two weeks later of septic shock. CONCLUSIONS: This disease must be suspected in diabetic females with renal lithiasis and pyelonephritis not responding to treatment, and impaired general condition. Early diagnosis (computed tomography is the gold-standard) and supportive measures are essential for initial management. Surgery can be open (drainage, initial or deferred nephrectomy), percutaneous (nephrostomy) or endoscopic (double-J stent). Conservative management is a choice in bilateral or mild cases. Mortality rate is high and worsens with delayed therapy. |
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Authors:
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Tristán Dellavedova; María Laura Racca; Rolando Ponzano; Juan Pablo Sarría; Federico Minuzzi; Gustavo Minuzzi |
Publication Detail:
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Type: Case Reports; English Abstract; Journal Article |
Journal Detail:
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Title: Archivos españoles de urología Volume: 62 ISSN: 0004-0614 ISO Abbreviation: Arch. Esp. Urol. Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-09-08 Completed Date: 2009-10-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0064757 Medline TA: Arch Esp Urol Country: Spain |
Other Details:
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Languages: spa Pagination: 406-9 Citation Subset: IM |
Affiliation:
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FUCDIM (Fundación Urológica Córdoba para la Docencia e Investigación Médica), Cordoba, Argentina. trisdellavedova@hotmail.com |
Vernacular Title:
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Pielonefritis enfisematosa. Comunicación de un caso. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Emphysema*
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complications,
diagnosis,
therapy Female Humans Middle Aged Pyelonephritis* / complications, diagnosis, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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