title: Emphysematous pyelonephritis and renal amoebiasis in a patient with diabetes mellitus.
abstract: Emphysematous pyelonephritis is an uncommon and life-threatening infection of the kidney that is characterized by gas formation within or around the kidney and is associated with diabetes mellitus and urinary tract infection. Amoebiasis is a protozoal infection caused by Entamoeba histolytica. In its invasive forms, the disease is characterized by visceral abscess formations. We present a case of concomitant emphysematous pyelonephritis and renal amoebiasis in a 42-year-old female with uncontrolled diabetes mellitus. The patient did not respond well to initial supportive treatment and antibiotherapy. Therefore, nephrectomy was performed. She did extremely well after the operation and was discharged with antidiabetics and antibiotics.
authors.affiliation: Department of Urology, Baskent University, Adana Teaching and Medical Research Center, Adana, Turkey. sezginguvel@mynet.com
authors.forename: Sezgin
authors.initials: S
authors.lastname: Guvel
authors.forename: Ferhat
authors.initials: F
authors.lastname: Kilinc
authors.forename: Fazilet
authors.initials: F
authors.lastname: Kayaselcuk
authors.forename: Ilhan
authors.initials: I
authors.lastname: Tuncer
authors.forename: Hakan
authors.initials: H
authors.lastname: Ozkardes
mesh_terms: D000328:Adult; D000818:Animals; D001786:Blood Glucose / Q000032:analysis; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy; D004646:Emphysema / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004748:Entamoeba histolytica / Q000302:isolation & purification; D004749:Entamoebiasis / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D005260:Female; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D009392:Nephrectomy; D011704:Pyelonephritis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents