title: Bilateral emphysematous pyelonephritis cured by antibiotics alone: a case and literature review.
abstract: Emphysematous pyelonephritis (EPN) is a rare but severe infectious disease. This disease sometimes presents bilaterally, making it difficult to cure. Diabetes mellitus is a common cofactor in this disease. Drainage or nephrectomy, often combined with antibiotics, is ordinarily used for treatment. To our knowledge, only 8 cases of bilateral EPN cured by antibiotics alone have been reported. We report the case of an 86-year-old woman with bilateral EPN cured by antibiotic therapy alone, thus avoiding surgery or drainage in a frail elderly patient.
authors.affiliation: Department of Urology, Akashi Municipal Hospital, Akashi 675-8501, Japan. katsumiatlanta@hotmail.com
authors.forename: Katsumi
authors.initials: K
authors.lastname: Shigemura
authors.forename: Tomihiko
authors.initials: T
authors.lastname: Yasufuku
authors.forename: Masuo
authors.initials: M
authors.lastname: Yamashita
authors.forename: Soichi
authors.initials: S
authors.lastname: Arakawa
authors.forename: Masato
authors.initials: M
authors.lastname: Fujisawa
mesh_terms: D000005:Abdomen / Q000473:pathology; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001421:Bacteria, Anaerobic / Q000302:isolation & purification; D001424:Bacterial Infections / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D004646:Emphysema / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D005260:Female; D006801:Humans; D011704:Pyelonephritis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed; D014556:Urine / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents