[Emphysematous pyelonephritis of single kidney: review of literature about one case].
BACKGROUND
Emphysematous pyelonephritis is a rare and severe form of acute pyelonephritis. It is defined as the presence of gas-producing bacteria in the kidney and in peri-nepheretic areas. We report a case of emphysematous pyelonephritis on a single kidney associated with urolithiasis.


METHODS
A 44-year-old woman, with a history of diabetes and chronic renal failure, presented with left renal colic, anuria, fever and worsening of general state. The diagnosis of emphysematous pyelonephritis was confirmed by CT scan. The treatment was based on antibiotheray, adapted to the renal function, insulinotherapy and urine drainage by a double J stent. The evolution was favourable.


CONCLUSIONS
Emphysematous pyelonephritis is an uncommon infection, generally affecting female diabetic patients. CT scan is mandatory to confirm diagnosis.


CONCLUSIONS
Even if it is rare, emphysematous pyelonephritis is associated with a high mortality in the absence of a rapid and effective treatment.
Aatif
Taoufiq
T
Service de néphrologie-hémodialyse, hôpital militaire d'instruction Mohamed-V, 142, cité des PTT hay-nahda, Rabat, Maroc. taoufiqaatif@yahoo.fr
Asseraji
Mohammed
M
Chafiki
Jawad
J
Maoujoud
Omar
O
Akhmouch
Ismail
I
Hassani
Mohammed
M
Ameur
Ahmed
A
El Aalam
Mustapha
M
Oualim
Zouhir
Z
D000328:Adult; D004646:Emphysema / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005260:Female; D006801:Humans; D009392:Nephrectomy; D011704:Pyelonephritis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D011859:Radiography