title: [Emphysematous pyelonephritis: a case report and review of the literature].
abstract: A case is presented of an E. Coli emphysematous pyelonephritis in a 66 year old female diabetic patient who presented systemic sepsis with positive hemoculture. Diagnosis was obtained thanks to X-ray and the patient had a favorable evolution after left nephrectomy. This is a rare kidney disease (123 described cases) which evolves with necrosis of renal parenchyma and gas formation which frequently expands to the perirenal space and/or to the collector system. It presents a high mortality which can decrease according to the promptness of diagnosis based on X-ray. Thirty eight literature cases of the last decade are reviewed evaluating the efficiency of image diagnostic measures and surgical performance.
authors.affiliation: Servicio de Medicina Intensiva, Hospital de Sabadell, Universidad Autónoma de Barcelona.
authors.forename: N
authors.initials: N
authors.lastname: Bonsoms
authors.forename: J
authors.initials: J
authors.lastname: Mancebo
authors.forename: L
authors.initials: L
authors.lastname: Blanch
authors.forename: R
authors.initials: R
authors.lastname: Fernández
authors.forename: A
authors.initials: A
authors.lastname: Artigas
mesh_terms: D000368:Aged; D004646:Emphysema / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D011704:Pyelonephritis / Q000175:diagnosis* / Q000601:surgery
vernacular_title: Pielonefritis enfisematosa: aportación de un caso y revisión de la literatura.