title: Emphysematous pyelonephritis: surgical implications.
abstract: Emphysematous pyelonephritis in patients with diabetes mellitus is increasingly recognised as a disease requiring urgent and aggressive treatment. We present 3 cases of emphysematous pyelonephritis; 1 patient required percutaneous nephrostomy followed by nephroureterectomy but the other 2 were successfully managed with antibiotics and control of diabetes. Diagnosis was confirmed by sequential imaging techniques which demonstrated an inflammatory renal mass associated with gas and fluid.
authors: Department of Medicine, Farwania Hospital, Kuwait.
authors: N
authors: N
authors: Shahatto
authors: N Z
authors: NZ
authors: al Awadhi
authors: S
authors: S
authors: Ghazali
mesh_terms: D002439:Cefotaxime / Q000627:therapeutic use; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000000981:diagnostic imaging; D004646:Emphysema / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011704:Pyelonephritis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000601:surgery*; D014463:Ultrasonography
chemical_list: D002439:Cefotaxime