title: Emphysematous pyelonephritis: a case report and review of the literature.
abstract: Emphysematous pyelonephritis is a rare and life-threatening suppurative infection of renal parenchymal and perirenal tissues, characterized by spontaneous gas production. Although uncommon (76 cases in the literature), it occurs almost exclusively in diabetic patients (87% of the cases). We describe a recent case of a diabetic woman with emphysematous pyelonephritis due to E. coli, successfully managed with unilateral nephrectomy. Symptoms, diagnostic approach and management are discussed and related to the previously reported series.
authors.affiliation: Second Department of Internal Medicine, State General Hospital of Nikaea, Piraeus, Greece.
authors.forename: S
authors.initials: S
authors.lastname: Pappas
authors.lastname: Peppas ThA
authors.forename: A
authors.initials: A
authors.lastname: Sotiropoulos
authors.forename: D
authors.initials: D
authors.lastname: Katsadoros
mesh_terms: D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003928:Diabetic Nephropathies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006801:Humans; D009392:Nephrectomy; D011704:Pyelonephritis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D014057:Tomography, X-Ray Computed; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014567:Urography
chemical_list: D015662:Trimethoprim, Sulfamethoxazole Drug Combination