title: Bilateral emphysematous pyelonephritis.
abstract: In any diabetic patient being diagnosed or treated for pyelonephritis, it is important to exclude the diagnosis of emphysematous pyelonephritis, which carries a high mortality rate. The authors present an illustrative case of emphysematous pyelonephritis treated with antibiotics and emergency nephrectomy. The signs, symptoms, pathophysiology, diagnosis, and treatment of emphysematous pyelonephritis are discussed.
authors.affiliation: Department of Emergency Medicine, Richland Memorial Hospital, Columbia, SC 29203, USA.
authors.forename: T P
authors.initials: TP
authors.lastname: McHugh
authors.forename: S E
authors.initials: SE
authors.lastname: Albanna
authors.forename: N J
authors.initials: NJ
authors.lastname: Stewart
mesh_terms: D000038:Abscess / Q000175:diagnosis; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003928:Diabetic Nephropathies / Q000175:diagnosis; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004646:Emphysema / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis; D007668:Kidney / Q000098:blood supply; D008875:Middle Aged; D009392:Nephrectomy; D010406:Penicillins / Q000627:therapeutic use; D011704:Pyelonephritis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery; D013407:Sulbactam / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D010406:Penicillins; D000667:Ampicillin; D013407:Sulbactam