Evolving case of emphysematous pyelonephritis in a second renal allograft
Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney that portends a poor prognosis. Patients present with sepsis, requiring fluid resuscitation, glucose control, and broad-spectrum antibiotics. Surgical intervention ranges from relief of urinary obstruction (nephros...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-09-01
|
| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442021001030 |
| _version_ | 1819137109179498496 |
|---|---|
| author | David Ambinder Akhil Saji Daniel Bassily Vincent Wong Devon John Nathan C. Wong |
| author_facet | David Ambinder Akhil Saji Daniel Bassily Vincent Wong Devon John Nathan C. Wong |
| author_sort | David Ambinder |
| collection | DOAJ |
| description | Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney that portends a poor prognosis. Patients present with sepsis, requiring fluid resuscitation, glucose control, and broad-spectrum antibiotics. Surgical intervention ranges from relief of urinary obstruction (nephrostomy tube or stent), percutaneous drainage or nephrectomy. We present a 51-year-old second kidney transplant recipient diabetic male, suffering from sepsis of unknown etiology which was subsequently revealed to be due to emphysematous pyelonephritis. Percutaneous drainage was performed initially followed by renal transplant nephrectomy after no improvement of his clinical status. Herein, we describe the clinical course and escalation in management. |
| first_indexed | 2024-12-22T10:45:39Z |
| format | Article |
| id | doaj.art-06d9212328864b0ea5dbbb021a128920 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-12-22T10:45:39Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-06d9212328864b0ea5dbbb021a1289202022-12-21T18:28:56ZengElsevierUrology Case Reports2214-44202021-09-0138101663Evolving case of emphysematous pyelonephritis in a second renal allograftDavid Ambinder0Akhil Saji1Daniel Bassily2Vincent Wong3Devon John4Nathan C. Wong5Department of Urology, New York Medical College/Westchester Medical Center, Valhalla, NY, USADepartment of Urology, New York Medical College/Westchester Medical Center, Valhalla, NY, USADepartment of Urology, New York Medical College/Westchester Medical Center, Valhalla, NY, USADepartment of Urology, New York Medical College/Westchester Medical Center, Valhalla, NY, USADivision of Intra-Abdominal Transplant and Hepatobiliary Surgery, Department of Surgery, New York Medical College/Westchester Medical Center, Valhalla, NY, USADepartment of Urology, New York Medical College/Westchester Medical Center, Valhalla, NY, USA; Corresponding author.Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney that portends a poor prognosis. Patients present with sepsis, requiring fluid resuscitation, glucose control, and broad-spectrum antibiotics. Surgical intervention ranges from relief of urinary obstruction (nephrostomy tube or stent), percutaneous drainage or nephrectomy. We present a 51-year-old second kidney transplant recipient diabetic male, suffering from sepsis of unknown etiology which was subsequently revealed to be due to emphysematous pyelonephritis. Percutaneous drainage was performed initially followed by renal transplant nephrectomy after no improvement of his clinical status. Herein, we describe the clinical course and escalation in management.http://www.sciencedirect.com/science/article/pii/S2214442021001030Emphysematous pyelonephritisRenal transplantSurgery |
| spellingShingle | David Ambinder Akhil Saji Daniel Bassily Vincent Wong Devon John Nathan C. Wong Evolving case of emphysematous pyelonephritis in a second renal allograft Urology Case Reports Emphysematous pyelonephritis Renal transplant Surgery |
| title | Evolving case of emphysematous pyelonephritis in a second renal allograft |
| title_full | Evolving case of emphysematous pyelonephritis in a second renal allograft |
| title_fullStr | Evolving case of emphysematous pyelonephritis in a second renal allograft |
| title_full_unstemmed | Evolving case of emphysematous pyelonephritis in a second renal allograft |
| title_short | Evolving case of emphysematous pyelonephritis in a second renal allograft |
| title_sort | evolving case of emphysematous pyelonephritis in a second renal allograft |
| topic | Emphysematous pyelonephritis Renal transplant Surgery |
| url | http://www.sciencedirect.com/science/article/pii/S2214442021001030 |
| work_keys_str_mv | AT davidambinder evolvingcaseofemphysematouspyelonephritisinasecondrenalallograft AT akhilsaji evolvingcaseofemphysematouspyelonephritisinasecondrenalallograft AT danielbassily evolvingcaseofemphysematouspyelonephritisinasecondrenalallograft AT vincentwong evolvingcaseofemphysematouspyelonephritisinasecondrenalallograft AT devonjohn evolvingcaseofemphysematouspyelonephritisinasecondrenalallograft AT nathancwong evolvingcaseofemphysematouspyelonephritisinasecondrenalallograft |