Emphysematous pyelonephritis - case report and review of literature
Introduction. Emphysematous pyelonephritis (EPN) is a severe, potentially fatal necrotizing infection of the kidney with the clinical picture ranging from the mild abdominal pain and discomfort to the septic shock and multiorgan failure. We presented here a case of EPN in a poorly controlled diabeti...
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2017-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600312C.pdf |
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| author | Ćelić Dejan Božić Dušan Petrović Kosta Živojinov Srđan Đurđević-Mirković Tatjana Popović Milica |
| author_facet | Ćelić Dejan Božić Dušan Petrović Kosta Živojinov Srđan Đurđević-Mirković Tatjana Popović Milica |
| author_sort | Ćelić Dejan |
| collection | DOAJ |
| description | Introduction. Emphysematous pyelonephritis (EPN) is a severe, potentially fatal necrotizing infection of the kidney with the clinical picture ranging from the mild abdominal pain and discomfort to the septic shock and multiorgan failure. We presented here a case of EPN in a poorly controlled diabetic patient that was the first registered case of EPN in our clinic for more than ten years. Case report. A 78-year-old diabetic male patient was referred to the Clinic for Nephrology and Clinical Immunology of the Clinical Center of Vojvodina, Novi Sad, Serbia, with weakness, malaise, abdominal discomfort and reduced daily urine volume. After complete physical exam, laboratory work up, echosonographic and computed tomography scanning we diagnosed the patient with EPN class IV, according to the Huang and Tseng classification, with the presence of 5 risk factors for mortality (systolic blood pressure below 90 mmHg, altered consciousness, thrombocytopenia, elevated serum creatinine level, bilateral disease). Treatment with conservative therapy and percutaneous drainage was not successful, further deteorioration of the patient status ensued so the patient passed away on the 8th day of hospitalization due to the development of septic shock with multiorgan failure that was refractory to all measures that were instituted. Conclusion. EPN is a severe, potentially fatal necrotizing inflammation of the kidney and surrounding tissue. Management and prognosis of this disease depends on the clinical status, risk factors and radiological classification of the disease. |
| first_indexed | 2024-12-20T15:49:28Z |
| format | Article |
| id | doaj.art-57281516519f42c7b7e638bb1715b28b |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-12-20T15:49:28Z |
| publishDate | 2017-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-57281516519f42c7b7e638bb1715b28b2022-12-21T19:34:44ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202017-01-0174121170117310.2298/VSP160328312C0042-84501600312CEmphysematous pyelonephritis - case report and review of literatureĆelić Dejan0Božić Dušan1Petrović Kosta2Živojinov Srđan3Đurđević-Mirković Tatjana4Popović Milica5Clinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad + Faculty of Medicine, Novi SadClinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad + Faculty of Medicine, Novi SadFaculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Center for Radiology, Novi SadFaculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Urology, Novi SadClinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad + Faculty of Medicine, Novi SadClinical Center of Vojvodina, Clinic for Nephrology and Clinical Immunology, Novi Sad + Faculty of Medicine, Novi SadIntroduction. Emphysematous pyelonephritis (EPN) is a severe, potentially fatal necrotizing infection of the kidney with the clinical picture ranging from the mild abdominal pain and discomfort to the septic shock and multiorgan failure. We presented here a case of EPN in a poorly controlled diabetic patient that was the first registered case of EPN in our clinic for more than ten years. Case report. A 78-year-old diabetic male patient was referred to the Clinic for Nephrology and Clinical Immunology of the Clinical Center of Vojvodina, Novi Sad, Serbia, with weakness, malaise, abdominal discomfort and reduced daily urine volume. After complete physical exam, laboratory work up, echosonographic and computed tomography scanning we diagnosed the patient with EPN class IV, according to the Huang and Tseng classification, with the presence of 5 risk factors for mortality (systolic blood pressure below 90 mmHg, altered consciousness, thrombocytopenia, elevated serum creatinine level, bilateral disease). Treatment with conservative therapy and percutaneous drainage was not successful, further deteorioration of the patient status ensued so the patient passed away on the 8th day of hospitalization due to the development of septic shock with multiorgan failure that was refractory to all measures that were instituted. Conclusion. EPN is a severe, potentially fatal necrotizing inflammation of the kidney and surrounding tissue. Management and prognosis of this disease depends on the clinical status, risk factors and radiological classification of the disease.http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600312C.pdfpyelonephritisemphysemadiabetes mellitus, type 1drainagetreatment outcome |
| spellingShingle | Ćelić Dejan Božić Dušan Petrović Kosta Živojinov Srđan Đurđević-Mirković Tatjana Popović Milica Emphysematous pyelonephritis - case report and review of literature Vojnosanitetski Pregled pyelonephritis emphysema diabetes mellitus, type 1 drainage treatment outcome |
| title | Emphysematous pyelonephritis - case report and review of literature |
| title_full | Emphysematous pyelonephritis - case report and review of literature |
| title_fullStr | Emphysematous pyelonephritis - case report and review of literature |
| title_full_unstemmed | Emphysematous pyelonephritis - case report and review of literature |
| title_short | Emphysematous pyelonephritis - case report and review of literature |
| title_sort | emphysematous pyelonephritis case report and review of literature |
| topic | pyelonephritis emphysema diabetes mellitus, type 1 drainage treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2017/0042-84501600312C.pdf |
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