Clinical Case Database / Category: Patient Management

Bilateral emphysematous pyelonephritis

Publication details

Udo Abah MBChB
Foundation Years Journal, volume 3, issue 5, p.20 (123Doc Education, London, June 2009)

Abstract

A 35-year-old non-diabetic female with a history of urolithiasis presented with loin pain. CT scan revealed bilateral EPN. Initial cultures of aspirate from a perinephric collection grew streptococcus milleri and multiple anaerobes. Treatment entailed high-dose antibiotics and percutaneous drainage. The patient made a good recovery and was discharged home after 38 days of hospitalisation.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

ProductPriceSubscription
Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart

Authors

Udo Abah MBChB

Foundation Year 2 Doctor

References

1. Kelly HA, MacCallum WG: Pneumaturia. JAMA, 1898, 31:375–381.
2. Huang JJ, Tseng CC: Emphysematous pyelonephritis: Clinicoradiological classification, management, prognosis and pathogenesis. Arch Intern Med, 2000, 160:797–805.
3. Wu VC, Fang CC, Li WY, et al. Candida tropicalis-associated bilateral renal papillary necrosis and emphysematous pyelonephritis. Clin Nephrol, December 2004, 62(6):473–475.
4. Huang JJ, Chen KW, Ruaan MK: Mixed acid fermentation of glucose as a mechanism of emphysematous urinary tract infection. J Urol, 1991, 146:148–151.
5. Shimizu H, Hariu K, Kamiyama Y, et al. Bilateral emphysematous pyelonephritis with autosomal-dominant polycystic kidney disease successfully treated by conservative method. Urol Int, 1999, 63(4):252–254.
6. Zabbo A, Montie JL, Popowniak KL, et al. Bilateral emphysematous pyelonephritis. Urology, 1985, 25:293–296.
7. Somani BK, Nabi G, Thorpe P, et al, ABACUS Research Group: Is Percutaneous Drainage the New Gold Standard in the Management of Emphysematous Pyelonephritis? Evidence from a Systematic Review. J Urol, 2008 Mar 17.
8. Aswathaman K, Gopalakrishnan G, Gnanaraj L, et al. Emphysematous Pyelonephritis: Outcome of Conservative Management. Urology, 2008 Mar 25.
9. Baumgarten DA, Baumgartner BR. Imaging and radiologic management of upper urinary tract infections. Urol Clin North Am, 1997, 24:545–569.
10. Kably MI, Elamraoui F, Chikhaoui N. Emphysematous pyelonephritis: radiologic diagnosis. Ann Urol, 2003, 37:229–232.
11. Wan YL, Lee TY, Bullard MJ, et al: Acute gas-producing bacterial renal infection: correlation between imaging findings and clinical outcome. Radiology, 1996, 198:433–438.
12. Lowe BA, Poage MD. Bilateral emphysematous pyelonephritis. Urology, March 1991, 37(3):229–232

Disclaimers

Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.