Emphysematous pyelonephritis.
Emphysematous pyelonephritis is a severe form of acute pyelonephritis, characterised by fever, abdominal pain, nausea and vomiting, associated with intraparenchymal and perirenal gas production. It is often diagnosed radiologically, by plain films of abdomen, ultrasonogram and/or CT scan and often needs surgical drainage. We report a case which could be diagnosed clinically because of extensive surgical emphysema in a diabetic patient which was successfully managed by a combined medical and surgical approach.
Sathyanathan
V P
VP
Department of Nephrology, Medical College, Trivandrum-695011.
Gomathy
S
S
Potty
R N
RN
George
J
J
Pisharody
R
R
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods; D004646:Emphysema / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D011704:Pyelonephritis / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents