title: Severe emphysematous pyelonephritis on a horseshoe kidney.
abstract: Emphysematous pyelonephritis is an acute bacterial infection responsible for a high mortality. It is characterized by bacterial gas production in the renal parenchyma, occurring in diabetic patients in most case. The gold standard treatment has always been surgery associated with antibiotic therapy. We report the case of a 58 year-old woman, with undocumented diabetes, who presented with emphysematous pyelonephritis complicated with septic shock and acute renal failure. Antibiotherapy alone was successful.
authors.affiliation: Service de réanimation et maladies infectieuses, centre hospitalier Dron, 135, rue du Président-Coty, 59208 Tourcoing cedex, France.
authors.forename: T
authors.initials: T
authors.lastname: d'Escrivan
authors.forename: A
authors.initials: A
authors.lastname: Duval
authors.forename: K
authors.initials: K
authors.lastname: Faure
mesh_terms: D048909:Diabetes Complications / Q000000981:diagnostic imaging; D004646:Emphysema / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008875:Middle Aged; D011704:Pyelonephritis / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed