This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. pISSN 1011-8934 eISSN 1598-6357 Bilateral Emphysematous Pyelonephritis https://doi.org/10.33...

Objective: We report a case involving a patient with bilateral emphysematous pyelonephritis (EPN) who was successfully treated with antibiotics and nephrostomy sparing nephrectomy. Case Presentation and Intervention: A 54year-old diabetic man presented with the chief complaint of progressive abdominal pain for 10 days. Blood tests indicated acute renal failure and hyperglycemic hyperosmolar sta...

Emphysematous pyelonephritis is an acute infection of the renal parenchyma and perinephric tissues caused by gas-forming microorganisms, resulting in the radiographic presence of gas in the kidney, collecting system, and surrounding spaces. Here we present a case of severe emphysematous pyelonephritis in the setting of Klebsiella urosepsis. Surgical exploration of the flank revealed infectious ...

Infections are usually detected in diabetes mellitus. They may be divided into: common infections such as fungal infections, pulmonary tuberculosis, pneumonia, bacteraemia, urinary tract infections, and diabetic foot infections and specific infections. The latter occur almost exclusively in diabetes and include rhinocerebral mucormycosis, malignant external otitis, emphysematous pyelonephritis,...

Emphysematous Pyelonephritis (EPN) is a rare necrotizing infection defined by gas production in the renal system. Bilateral disease has only been reported to occur in 10% of cases.1 This condition is considered a urologic emergency as mortality and morbidity rates are exceedingly high. The most common predisposing factor to developing EPN, is long-term poorly controlled Diabetes Mellitus (DM), ...

Psoas muscle abscess associated with emphysematous urinary tract infection is very rare. There were very few reports about urinary tract infections such as renal abscess, perinephric abscess, and emphysematous pyelonephritis complicated with psoas muscle abscess; however, psoas muscle abscess associated with emphysematous cystitis has not yet been reported. Here, we report a case of bilateral p...

Emphysematous pyelonephritis is a severe, potentially fatal necrotizing pyelonephritis with a variable clinical presentation, ranging from mild abdominal pain to septic shock. The majority of cases occur in diabetics with poor glycemic control, while a small percentage may be due to urinary tract obstruction. We present a case of a 57 year old male patient, diabetic on treatment, presenting wit...

A 46-year-old woman presented to the emergency department with a 1-day history of lethargy and a 7-day history of general weakness. The patient had diabetes mellitus with poor glucose control and degenerative arthritis that had been treated intermittently with steroid medication over the past several years. A plain radiograph revealed diffuse gas formation throughout both kidneys (Fig. 1). Abdo...