title: [Acute bilateral emphysematous pyelonephritis. A therapeutic challenge].
abstract: A therapeutic challenge. Emphysematous pyelonephritis is a rare form of kidney infection characterized by the presence of gas-forming coliform bacteria which affects more frequently diabetic subjects. We report the case of a 57-years-old diabetic woman, who was admitted in septic shock, signs of acute bilateral emphysematous pyelonephritis, and diabetic ketoacidosis. Both blood and urine cultures yielded Escherichia coli. The patient was successfully treated using longterm broad-spectrum antibiotics, diabetic control and supportive measures alone. Catheter drainage and nephrectomy were not necessary to overcome this life threatening situation
authors.affiliation: Unidad de Internación del Departamento de Medicina, Hospital de Clínicas José de San Martin, Universidad de Buenos Aires, Argentina. sala2primeracatedra@hotmail.com
authors.forename: Marcelo J
authors.initials: MJ
authors.lastname: Melero
authors.forename: Sergio G
authors.initials: SG
authors.lastname: Sarquis
authors.forename: Cesar
authors.initials: C
authors.lastname: Biancolini
authors.forename: Natalio
authors.initials: N
authors.lastname: Baredes
authors.forename: Roberto
authors.initials: R
authors.lastname: Villa
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008875:Middle Aged; D011704:Pyelonephritis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000628:therapy*; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents