Emphysematous pyelonephritis.
BACKGROUND
A 54-year-old nondiabetic male presented with high fever, vague lower abdominal pain and leakage of urine around his long-standing suprapubic catheter. Examination revealed pyrexia and tenderness in the right renal angle. White cell count was 22.8 x 10(9)/l. Plain abdominal X-ray showed calculi in the right kidney, ureter and bladder. Intravenous pyelogram showed gas confined to the right upper renal pelvis and perinephric space.


METHODS
Urine and blood cultures, plain abdominal X-ray, intravenous pyelogram, abdominal ultrasound, MAG3 renogram and histopathology.


METHODS
Emphysematous pyelonephritis: class 2 or type 1. Escherichia coli was isolated from urine obtained by endoscopic drainage.


RESULTS
Endoscopic drainage of pus and simple nephrectomy.
Nayeemuddin
Mohammed
M
Department of Urology, Edith Cavell Hospital, Peterborough, UK. md_nayim@yahoo.com
Wiseman
Oliver J
OJ
Turner
Alan G
AG
D004646:Emphysema / Q000175:diagnosis* / Q000382:microbiology; D004927:Escherichia coli Infections / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000175:diagnosis* / Q000382:microbiology