title: Bilateral emphysematous pyelonephritis resolving to medical therapy.
abstract: We describe a case of bilateral emphysematous pyelonephritis, in a diabetic female, that responded to medical therapy alone. Her complete improvement is documented radiologically. Emphysematous pyelonephritis, as a cause of serious infection in diabetic patients, is briefly reviewed.
authors.affiliation: Intensive Care Unit, Middlemore Hospital, Auckland, New Zealand.
authors.forename: R
authors.initials: R
authors.lastname: Nagappan
authors.forename: S
authors.initials: S
authors.lastname: Kletchko
mesh_terms: D015377:Cilastatin / Q000627:therapeutic use*; D000077728:Cilastatin, Imipenem Drug Combination; D002939:Ciprofloxacin / Q000627:therapeutic use; D004338:Drug Combinations; D004646:Emphysema / Q000000981:diagnostic imaging / Q000209:etiology*; D004927:Escherichia coli Infections / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D015378:Imipenem / Q000627:therapeutic use*; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D014057:Tomography, X-Ray Computed
chemical_list: D004338:Drug Combinations; D015377:Cilastatin; D002939:Ciprofloxacin; D015378:Imipenem; D000077728:Cilastatin, Imipenem Drug Combination