title: [Fatal emphysematous pyelonephritis].
abstract: A man aged 46 years with diabetes mellitus was admitted with acute right-sided renal symptoms. Pyelonephritis emphysematous without concretions was found. The patient was treated with insulin, fluids, electrolytes and antibiotics and nephrostomy was performed and, subsequently, an internal JJ-catheter in the ureter. The symptoms disappeared and he was discharged on a low dosage of sulphamethizol. After the planned removal of the JJ-catheter, sepsis running a lethal course developed. This emphasizes the importance of adequate prophylactic antibiotic therapy in connection with interventions in the urinary tracts.
authors.affiliation: Aalborg Sygehus Nord, Urologisk og radiologisk afdeling.
authors.forename: J B
authors.initials: JB
authors.lastname: Andersen
authors.forename: A D
authors.initials: AD
authors.lastname: Olsen
authors.forename: H M
authors.initials: HM
authors.lastname: Pedersen
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002954:Citrobacter / Q000302:isolation & purification; D003928:Diabetic Nephropathies / Q000000981:diagnostic imaging; D004646:Emphysema / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology*; D004756:Enterobacteriaceae Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation; D011704:Pyelonephritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology*; D011859:Radiography
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Letalt forløbende pyelonephritis emphysematosa.