title: Bilateral emphysematous pyelonephritis combined with subcapsular hematoma and disseminated necrotizing fasciitis.
abstract: Emphysematous pyelonephritis (EPN) is a rapidly progressive and potentially life-threatening necrotizing infection of the renal parenchyma characterized by the presence of gas. Bilateral EPN is a rare disease process with a high mortality rate. Bleeding associated with EPN is an extremely rare complication. Necrotizing fasciitis is a rare but serous condition with a poor prognosis. Herein we present a rare case of bilateral EPN combined with subcapsular hematomas which progressed to the development of disseminated necrotizing fasciitis.
authors.affiliation: Department of Urology, National Cheng Kung University Medical College and Hospital, 138 Sheng Li Road, Tainan, Taiwan, ROC.
authors.forename: Dennis C S
authors.initials: DC
authors.lastname: Lin
authors.forename: Gia-Shing
authors.initials: GS
authors.lastname: Shieh
authors.forename: Yat-Ching
authors.initials: YC
authors.lastname: Tong
mesh_terms: D004646:Emphysema / Q000150:complications*; D019115:Fasciitis, Necrotizing / Q000209:etiology*; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications*