title: [Emphysematous pyelonephritis. Two cases].
abstract: The emphysematous pyelonephritis is a rare and severe renal infection characterized by the presence of gas in renal parenchyma and its perirenal spaces. We report two cases of emphysematous pyelonephritis in two diabetic women (53 and 50 years old respectively). In the first case, the treatment was based on nephrectomy because of the presence of a septic shock and three risk factors, which are acute renal failure, hematuria and thrombopenia. In the second case, the treatment was only medical. The evolution was favorable in the two cases. We insist in this article that this diagnosis should be considered in every female diabetic patient having severe acute pyelonephritis resistant to a well-conducted medical treatment.
authors.affiliation: Service de néphrologie et de médecine interne, hôpital Charles-Nicolle, boulevard 9-Avril, 1006 Tunis, Tunisie. hedi.benmaiz@rns.tn
authors.forename: Lotfi
authors.initials: L
authors.lastname: Cherif
authors.forename: Karima
authors.initials: K
authors.lastname: Khiari
authors.forename: Néjib
authors.initials: N
authors.lastname: Ben Abdallah
authors.forename: Nédia
authors.initials: N
authors.lastname: Kourda
authors.forename: Hayet
authors.initials: H
authors.lastname: Kaaroud
authors.forename: Inçaf Hadj
authors.initials: IH
authors.lastname: Ali
authors.forename: Youssef
authors.initials: Y
authors.lastname: Lakhoua
authors.forename: Fethi
authors.initials: F
authors.lastname: Ben Hmida
authors.forename: Fethi
authors.initials: F
authors.lastname: El Younsi
authors.forename: Slaheddine
authors.initials: S
authors.lastname: Friaa
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sfaxi
authors.forename: Fatma
authors.initials: F
authors.lastname: Ben Moussa
authors.forename: Sarrah
authors.initials: S
authors.lastname: Ben Jilani
authors.forename: Mohsen
authors.initials: M
authors.lastname: Ayed
authors.forename: Hédi
authors.initials: H
authors.lastname: Ben Maïz
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D004646:Emphysema / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009392:Nephrectomy; D011704:Pyelonephritis / Q000175:diagnosis* / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents