Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent

Emphysematous pyelonephritis is a life threatening, necrotizing upper urinary tract infection associated with gas within the kidney and/or perinephric space. To prevent mortality from this fulminant infection, early diagnosis is essential. CT scan should be done early in patients with suspected emph...

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Main Authors: Madhulika Mahashabde, Sukanya Kumar, Kapil Borawake
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Medical Journal of Dr. D.Y. Patil University
Subjects:
Online Access:http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2013;volume=6;issue=4;spage=447;epage=449;aulast=Mahashabde
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author Madhulika Mahashabde
Sukanya Kumar
Kapil Borawake
author_facet Madhulika Mahashabde
Sukanya Kumar
Kapil Borawake
author_sort Madhulika Mahashabde
collection DOAJ
description Emphysematous pyelonephritis is a life threatening, necrotizing upper urinary tract infection associated with gas within the kidney and/or perinephric space. To prevent mortality from this fulminant infection, early diagnosis is essential. CT scan should be done early in patients with suspected emphysematous pyelonephritis. Here, we present a case of Type II Diabetes Mellitus complicated with left obstructive ureteric calculi, diagnosed on CT scan to have extensive bilateral emphysematous pyelonephritis of class 4. We treated conservatively with antibiotics and DJ stent. The patient responded and a repeat CT scan was done after 4 weeks which showed no evidence of emphysematous pyelonephritis.
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spelling doaj.art-31fcea7c34044de5852e06b3d33f73282022-12-21T19:42:47ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702013-01-016444744910.4103/0975-2870.118283Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stentMadhulika MahashabdeSukanya KumarKapil BorawakeEmphysematous pyelonephritis is a life threatening, necrotizing upper urinary tract infection associated with gas within the kidney and/or perinephric space. To prevent mortality from this fulminant infection, early diagnosis is essential. CT scan should be done early in patients with suspected emphysematous pyelonephritis. Here, we present a case of Type II Diabetes Mellitus complicated with left obstructive ureteric calculi, diagnosed on CT scan to have extensive bilateral emphysematous pyelonephritis of class 4. We treated conservatively with antibiotics and DJ stent. The patient responded and a repeat CT scan was done after 4 weeks which showed no evidence of emphysematous pyelonephritis.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2013;volume=6;issue=4;spage=447;epage=449;aulast=MahashabdeBilateral emphysematous pyelonephritisDJ stentureteric calculus
spellingShingle Madhulika Mahashabde
Sukanya Kumar
Kapil Borawake
Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent
Medical Journal of Dr. D.Y. Patil University
Bilateral emphysematous pyelonephritis
DJ stent
ureteric calculus
title Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent
title_full Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent
title_fullStr Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent
title_full_unstemmed Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent
title_short Extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and DJ stent
title_sort extensive bilateral emphysematous pyelonephritis with calculi managed conservatively with antibiotics and dj stent
topic Bilateral emphysematous pyelonephritis
DJ stent
ureteric calculus
url http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2013;volume=6;issue=4;spage=447;epage=449;aulast=Mahashabde
work_keys_str_mv AT madhulikamahashabde extensivebilateralemphysematouspyelonephritiswithcalculimanagedconservativelywithantibioticsanddjstent
AT sukanyakumar extensivebilateralemphysematouspyelonephritiswithcalculimanagedconservativelywithantibioticsanddjstent
AT kapilborawake extensivebilateralemphysematouspyelonephritiswithcalculimanagedconservativelywithantibioticsanddjstent