A 35-year-old nondiabetic renal allograft recipient developed emphysematous pyelonephritis and cystitis emphysematosa necessitating graft nephrectomy. The patient received cyclosporin and prednisolone as immunosuppressive therapy. He developed the first episode of urinary tract infection one week after transplantation and another episode 3 months later. Abdominal CT scan revealed presence of ga...

Ann Saudi Med 28(1) January-February 2008 www.kfshrc.edu.sa/annals 50 Emphysematous cystitis is a rare disease chara acterized by the presence of gas in the urinary bladder walls and often in the bladder lumen due to infection by gasaforming organisms. Clinical symptoms of dysurea, increased urinary frequency and hematuria may be present. Underlying diabetes mellia tus is present in over half o...

Bilateral emphysematous pyelonephritis (EPN) is an extremely uncommon condition that is often life threatening. It requires aggressive medical and often surgical management. EPN is a gasproducing, necrotizing infection involving the renal parenchyma. EPN is usually caused by an Escherichia coli (70%) or Klebsiella pneumonia (24%) infection.1e3 Although bilateral EPN is a rare phenomenon that oc...

A 63-year-old woman presented with a 2-day history of nausea, vomiting and abdominal pain. She deteriorated rapidly with the development of anuric acute kidney injury and respiratory failure, requiring admission to the intensive care unit for CVVH and ventilation. Her past medical history included type 2 diabetes mellitus, treated with insulin therapy and a previous right nephrectomy (12 years ...