Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient

We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and cap...

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Main Authors: Yayi He, Bingyin Shi, Xiaoyan Wu, Peng Hou, Yi Wang
Format: Article
Language:English
Published: MDPI AG 2012-01-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/393
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author Yayi He
Bingyin Shi
Xiaoyan Wu
Peng Hou
Yi Wang
author_facet Yayi He
Bingyin Shi
Xiaoyan Wu
Peng Hou
Yi Wang
author_sort Yayi He
collection DOAJ
description We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consideration in diabetic patients with symptoms of pyelonephritis who show a poor response to conventional treatment. Elective nephrectomy may be life saving in some patients.
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spelling doaj.art-160b91247e3148dc9f3806c4b7adac4e2022-12-22T02:12:24ZengMDPI AGClinics and Practice2039-72752039-72832012-01-012110.4081/cp.2012.e14151Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patientYayi He0Bingyin Shi1Xiaoyan Wu2Peng Hou3Yi Wang4Department of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi ProvinceDepartment of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi ProvinceDepartment of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi ProvinceDepartment of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi ProvinceDepartment of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi ProvinceWe present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consideration in diabetic patients with symptoms of pyelonephritis who show a poor response to conventional treatment. Elective nephrectomy may be life saving in some patients.https://www.clinicsandpractice.org/index.php/cp/article/view/393emphysematous pyelonephritisdiabetesnephrectomy.
spellingShingle Yayi He
Bingyin Shi
Xiaoyan Wu
Peng Hou
Yi Wang
Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient
Clinics and Practice
emphysematous pyelonephritis
diabetes
nephrectomy.
title Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient
title_full Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient
title_fullStr Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient
title_full_unstemmed Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient
title_short Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient
title_sort emphysematous pyelonephritis treated with elective nephrectomy in a 75 year old diabetic patient
topic emphysematous pyelonephritis
diabetes
nephrectomy.
url https://www.clinicsandpractice.org/index.php/cp/article/view/393
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AT xiaoyanwu emphysematouspyelonephritistreatedwithelectivenephrectomyina75yearolddiabeticpatient
AT penghou emphysematouspyelonephritistreatedwithelectivenephrectomyina75yearolddiabeticpatient
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