title: A case report of emphysematous pyelonephritis as a first presentation of diabetes mellitus.
abstract: Emphysematous Pyelonephritis (EPN) is an acute suppurative Infection of the kidney. It is an uncommon infection, occurs mostly in patients with diabetes and a predilection for females. It has a high fatality rate; therefore, aggressive medical, early intervention or surgical approach is recommended. We present here a woman with no previous medical history presented with uncontrolled hyperglycemia for the first time associated with EPN.
authors.affiliation: Medical Department, Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Amal Ali
authors.initials: AA
authors.lastname: Nasr
authors.affiliation: Medical Department, Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Ashraf Gaber
authors.initials: AG
authors.lastname: Kishk
authors.affiliation: Medical Department, Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Ehab Makram
authors.initials: EM
authors.lastname: Sadek
authors.affiliation: Histopathology Department, Amiri Hospital, Kuwait City, Kuwait.
authors.forename: Socrates Mathew
authors.initials: SM
authors.lastname: Parayil
keywords: Diabetes Mellitus; Nephrectomy; Pyelonephritis