Culture-Negative Bilateral Emphysematous Pyelonephritis Presented as Acute Renal Failure and Managed Medically Only

Yükleniyor...
Küçük Resim

Tarih

2010

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

LIPPINCOTT WILLIAMS & WILKINS

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Emphysematous pyelonephritis is a life-threatening infection especially seen in patients with poorly-controlled diabetes mellitus. Imaging modalities (preferably computed tomography) are required to establish the diagnosis. Treatment modalities include volume resuscitation, broad-spectrum antibiotics, percutaneous drainage, and, as a last resort, nephrectomy. We present a case of a 46-year-old female who had hypertension and type-2 diabetes mellitus and presented with complaints of dysuria, back pain, and decreased urine output. Renal ultrasound and abdominal computerized tomography (CT) revealed air-fluid levels at each perirenal region and collecting systems, consistent with emphysematous pyelonephritis. Her clinical situation improved with vigorous fluid resuscitation and broad-spectrum antibiotic treatment.

Açıklama

Anahtar Kelimeler

acute renal failure, bilateral emphysematous pyelonephritis, culture-negative

Kaynak

Southern Medical Journal

WoS Q Değeri

Q3

Scopus Q Değeri

Q3

Cilt

103

Sayı

2

Künye

Solak, Y., Türkmen, K., Atalay, H., Türk, S., (2010). Culture-Negative Bilateral Emphysematous Pyelonephritis Presented as Acute Renal Failure and Managed Medically Only. Southern Medical Journal, 103(2), 154-155. doi: 10.1097/SMJ.0b013e3181bfd553