title: Emphysematous pyelonephritis.
abstract: Emphysematous pyelonephritis, an uncommon severe necrotizing infection of the kidney, usually associated with diabetes mellitus, is a potentially fatal illness. We present a case of a 75-year-old woman with diabetes who was admitted with "pyelonephritis." The computed tomography scan of her abdomen revealed gas in the renal parenchyma, and emphysematous pyelonephritis was diagnosed. The patient had a total nephrectomy, and was treated with antibiotics. Blood cultures and operative cultures grew Escherichia coli.
authors.affiliation: Infectious Disease Division, Winthrop-University Hospital, Mineola, NY 11501, USA.
authors.forename: J T
authors.initials: JT
authors.lastname: Bonoan
authors.forename: S
authors.initials: S
authors.lastname: Mehra
authors.forename: B A
authors.initials: BA
authors.lastname: Cunha
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D048909:Diabetes Complications; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D009392:Nephrectomy; D011704:Pyelonephritis / Q000175:diagnosis* / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents