Emphysematous pyelonephritis, a necrotizing infection of the renal parenchyma caused by gas-producing organism, is a rare but life-threatening condition. The initial presentation could be non-specific. We report a case of emphysematous pyelonephritis in a patient presenting with poorly controlled diabetes mellitus and severe sepsis. Its pathogenesis and management are briefly discussed. (Hong K...

BACKGROUND Emphysematous pyelonephritis is a severe life threatening necrotising infection of the renal parenchyma. The infection most commonly occurs in the diabetic population, often associated with the organism E. coli Emphysematous pyelonephritis differs from standard pyelonephritis by the bacterial liberation and accumulation of gas in the surrounding tissues. The condition is rarely encou...

Emphysematous pyelonephritis is a rare infection characterized by necrosis and gas accumulation in the renal parenchyma, adjacent tissues, and/or urinary collecting system. This entity is rarely reported in transplanted kidneys. Computed tomography imaging is necessary for diagnosis and risk classification. The authors described the case of a 58-year-old man who underwent a kidney transplant an...

Emphysematous pyelonephritis is a rare and life-threatening suppurative infection of renal parenchymal and perirenal tissues, characterized by spontaneous gas production. Although uncommon (76 cases in the literature), it occurs almost exclusively in diabetic patients (87% of the cases). We describe a recent case of a diabetic woman with emphysematous pyelonephritis due to E. coli, successfully...

Emphysematous pyelonephritis is a rapidly progressive acute necrotizing infection of the kidney parenchyma caused by gaseous anaerobic bacteria.(1-3) It is almost always seen in diabetic patients (more than 90% of cases) and is sometimes associated with urinary obstruction induced by renal stone, papillary necrosis, chronic infections, or kidney dysfunction.(1,3) It is bilateral only in 10% of ...

Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma, resulting in presence of gas within either in the collecting system or perinephric space. We herein report our experience with 5 cases of emphysematous pyelonephritis in 2 men and 3 women managed by broad spectrum antibiotics, supportive measures including hemodialysis (2 patients), ureteral stenting (2 pati...

are gas-forming infections within the parenchyma of solid organs or the walls of the hollow viscera. Some well known emphysematous infections include emphysematous cholecystitis, emphysematous gastritis, emphysematous pancreatitis, emphysematous pyelonephritis, and emphysematous cystitis (1). An emphysematous infection in more than one organ is very rare (2) and, to the best of our knowledge, n...

Emphysematous pyelonephritis (EP) is a rare, severe gas forming infection of renal parenchyma and its surrounding areas and potentially life threatening condition that requires prompt evaluation and treatment. Although it commonly present with a fulminant clinical picture of sepsis, relatively mild symptoms can also be encountered. To our knowledge, incidentally detected emphysematous pyeloneph...

Emphysematous pyelonephritis is a rare but dangerous condition in patients with D.M. and urinary tract infection. We report a case of emphysematous pyelonephritis who presented to us with acute abdomen and sepsis. Her CT abdomen showed air in the collecting system of left kidney. She was managed with, I. V. fluids, antibiotics, insulin, and percutaneous nephrostomy. But she died on the 3rd day ...

BACKGROUND Bilateral emphysematous pyelonephritis is a life threatening condition usually occurring in diabetics. Management of this condition has traditionally been aggressive and surgery is considered mandatory. However, this is itself a hazardous intervention in a septic, unstable patient with circulatory or liver failure. When bilateral disease is present, the need for long-term dialysis is...