title: Emphysematous pyelonephritis in a diabetic patient with obstructed kidney.
abstract: Emphysematous pyelonephritis (EPN) is an acute, rare, inflammatory disease, which typically occurs in patients who suffer from diabetes mellitus. We report the case of a patient who was admitted to the Department of Urology with septic signs, in whom, after performing computed tomography, the diagnosis of EPN was established. The patient underwent organ-preserving treatment, which consisted of pyelolithotomy with nephrostomy, and the insertion of a double J catheter into the left ureter. The importance of the classification of EPN is also discussed. The need for individualized procedures is highlighted.
authors.affiliation: 1 Department of Urology, Medical University of Łódź, Łódź, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Kutwin
authors.affiliation: 1 Department of Urology, Medical University of Łódź, Łódź, Poland.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Konecki
authors.affiliation: 1 Department of Urology, Medical University of Łódź, Łódź, Poland.
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Jabłonowski
keywords: emphysematous pyelonephritis; treatment; urinary tract infection