title: An uncommon cause of postpartum renal failure--bilateral emphysematous pyelonephritis.
abstract: Peripartum acute renal failure is an important complication related to pregnancy leading to significant morbidity and mortality. Emphysematous pyelonephritis (EPN) is a severe necrotizing infection of the renal parenchyma, with formation of gas within the collecting system, renal parenchyma, or perirenal tissues. EPN is common in persons with diabetes or urinary tract obstruction. Herein we report a case of bilateral emphysematous pyelonephritis in a postpartum lady who had no evidence of diabetes or urinary tract obstruction. Management of this condition has traditionally been aggressive, and surgery has been considered mandatory. Our patient was managed successfully with antibiotics and supportive measures alone.
authors.affiliation: Department of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.
authors.forename: Naresh
authors.initials: N
authors.lastname: Kumar
authors.forename: Narinder Pal
authors.initials: NP
authors.lastname: Singh
authors.forename: Amit
authors.initials: A
authors.lastname: Mittal
authors.forename: Anna T
authors.initials: AT
authors.lastname: Valson
authors.forename: Harmanjeet Singh
authors.initials: HS
authors.lastname: Hira
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D004646:Emphysema / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D049590:Postpartum Period; D011704:Pyelonephritis / Q000150:complications* / Q000175:diagnosis / Q000628:therapy