title: Citrobacter emphysematous pyelonephritis in a tuberculous kidney caused by citrobacter. A case report in a diabetic patient.
abstract: Emphysematous pyelonephritis caused by gas-producing bacteria like Escherichia coli or Klebsiella pneumonia is generally observed in female diabetic patients. We report a case in which Citrobacter was the microbiologically documented pathogen. High-dose antibiotic regimen was administered, but nephrectomy was necessary to overcome the life-threatening situation.
authors.affiliation: Department of Urology, Justus Liebig University Medical School, Giessen, Germany.
authors.forename: C
authors.initials: C
authors.lastname: Fischer
authors.forename: M
authors.initials: M
authors.lastname: Kallerhoff
authors.forename: W
authors.initials: W
authors.lastname: Weidner
authors.forename: R H
authors.initials: RH
authors.lastname: Ringert
mesh_terms: D016971:Citrobacter freundii; D003928:Diabetic Nephropathies / Q000150:complications*; D004646:Emphysema / Q000150:complications / Q000382:microbiology*; D004756:Enterobacteriaceae Infections / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications / Q000382:microbiology*; D014398:Tuberculosis, Renal / Q000150:complications*