title: Emphysematous pyelonephritis in the setting of diabetes mellitus.
abstract: BACKGROUND
  Emphysematous pyelonephritis (EPN) is a rare, life threatening, upper urinary tract infection with high mortality rate.
  
  
  METHODS
  We report a type-2 diabetes mellitus patient presenting with persistent fever, vomiting and pyuria despite appropriate treatment, diagnosed as a case of EPN, recovered without any surgical intervention.
  
  
  CONCLUSIONS
  Suspicion of EPN should be entertained in diabetes mellitus patient with persistent pyuria and deteriorating condition despite adequate treatment with antibiotics.
authors.affiliation: Postgraduate Department of Medicine, Government Medical College, Jammu- 180001.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Gupta
authors.forename: Rahul
authors.initials: R
authors.lastname: Gupta
authors.forename: Ketki
authors.initials: K
authors.lastname: Jandial
authors.forename: Sumeet
authors.initials: S
authors.lastname: Samotra
authors.forename: Vikram
authors.initials: V
authors.lastname: Rana
authors.forename: Rajesh
authors.initials: R
authors.lastname: Gupta
authors.forename: Sunil
authors.initials: S
authors.lastname: Gupta
authors.forename: Jitendra
authors.initials: J
authors.lastname: Singh
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy; D003937:Diagnosis, Differential; D004646:Emphysema / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D004926:Escherichia coli / Q000302:isolation & purification; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D000077731:Meropenem; D008795:Metronidazole / Q000627:therapeutic use; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D013845:Thienamycins / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014552:Urinary Tract Infections / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology
chemical_list: D000890:Anti-Infective Agents; D007004:Hypoglycemic Agents; D013845:Thienamycins; D008795:Metronidazole; D000077731:Meropenem