title: Emphysematous pyelonephritis: a rare presentation.
abstract: Emphysematous pyelonephritis is a rare life threatening infection in diabetes characterised by suppurative infection of renal parenchyma and perirenal tissues. It usually presents with fever, nausea, vomiting, abdominal pain, shock, lethargy, and confusion. Diabetic ketoacidosis is an uncommon presentation. In the present case, an elderly female presented with abdominal pain, fever, vomiting, and altered sensorium. She was diagnosed to have diabetic ketoacidosis with metabolic encephalopathy with right emphysematous pyelonephritis. She had an excellent response to medical treatment alone and was later discharged on oral hypoglycaemic agents.
authors.affiliation: Department of Medicine, Dr. Ram Manohar Lohia Hospital, New Delhi - 110001, India.
authors.forename: S K
authors.initials: SK
authors.lastname: Jain
authors.forename: N
authors.initials: N
authors.lastname: Agarwal
authors.forename: S K
authors.initials: SK
authors.lastname: Chaturvedi
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents; D016883:Diabetic Ketoacidosis / Q000150:complications; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004646:Emphysema / Q000175:diagnosis*; D005260:Female; D006801:Humans; D011704:Pyelonephritis / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents