Solak, YalçınTürkmen, KültiginAtalay, HüseyinTürk, Süleyman2020-03-262020-03-262010Solak, 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.0b013e3181bfd5530038-4348https://dx.doi.org/10.1097/SMJ.0b013e3181bfd553https://hdl.handle.net/20.500.12395/24749Emphysematous 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.en10.1097/SMJ.0b013e3181bfd553info:eu-repo/semantics/openAccessacute renal failurebilateral emphysematous pyelonephritisculture-negativeArticle103215415520175249Q3WOS:000278289000015Q3