An odd cause of the lower limb restriction: Emphysematous pyelonephritis

Lower limb restriction is usually due to any pathology affecting the joints or neurological causes. Emphysematous pyelonephritis is caused by gas-producing anaerobes and is one of the life-threatening diseases. It can extend into various fascial planes can be seen causing multiple ranges of symptoms...

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Main Authors: Vigneshwar Adhithiya, Kulasekaran Nadhamuni, A M Anand, Mohamed Rafi Kathar Hussain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:BLDE University Journal of Health Sciences
Subjects:
Online Access:http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=2;spage=222;epage=225;aulast=Adhithiya
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author Vigneshwar Adhithiya
Kulasekaran Nadhamuni
A M Anand
Mohamed Rafi Kathar Hussain
author_facet Vigneshwar Adhithiya
Kulasekaran Nadhamuni
A M Anand
Mohamed Rafi Kathar Hussain
author_sort Vigneshwar Adhithiya
collection DOAJ
description Lower limb restriction is usually due to any pathology affecting the joints or neurological causes. Emphysematous pyelonephritis is caused by gas-producing anaerobes and is one of the life-threatening diseases. It can extend into various fascial planes can be seen causing multiple ranges of symptoms. A 49-year-old male patient came with complaints of difficulty in extending the left lower limb for the past 1 month with associated left loin pain radiating to the left lower limb. Plain CT KUB shows features suggestive of bilateral emphysematous pyelonephritis with left retro-renal multi-loculated collection with extension of infection into anterior abdominal wall fascia and inferiorly into the left pelvic muscles and left thigh. Emphysematous pyelonephritis presenting as necrotizing fasciitis is a rare phenomenon. Patients with uncontrolled diabetes can clinically present with both these entities. Necrotizing fasciitis of the thigh leading to restriction of movement in the lower limb can sometimes be the cardinal clinical and odd presentation of emphysematous pyelonephritis.
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spelling doaj.art-a5ea51c0b65142d78ac90ae99bac09222022-12-21T19:02:38ZengWolters Kluwer Medknow PublicationsBLDE University Journal of Health Sciences2468-838X2456-19752020-01-015222222510.4103/bjhs.bjhs_61_20An odd cause of the lower limb restriction: Emphysematous pyelonephritisVigneshwar AdhithiyaKulasekaran NadhamuniA M AnandMohamed Rafi Kathar HussainLower limb restriction is usually due to any pathology affecting the joints or neurological causes. Emphysematous pyelonephritis is caused by gas-producing anaerobes and is one of the life-threatening diseases. It can extend into various fascial planes can be seen causing multiple ranges of symptoms. A 49-year-old male patient came with complaints of difficulty in extending the left lower limb for the past 1 month with associated left loin pain radiating to the left lower limb. Plain CT KUB shows features suggestive of bilateral emphysematous pyelonephritis with left retro-renal multi-loculated collection with extension of infection into anterior abdominal wall fascia and inferiorly into the left pelvic muscles and left thigh. Emphysematous pyelonephritis presenting as necrotizing fasciitis is a rare phenomenon. Patients with uncontrolled diabetes can clinically present with both these entities. Necrotizing fasciitis of the thigh leading to restriction of movement in the lower limb can sometimes be the cardinal clinical and odd presentation of emphysematous pyelonephritis.http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=2;spage=222;epage=225;aulast=Adhithiyaemphysematousfasciitisnecrotizingpyelonephritis
spellingShingle Vigneshwar Adhithiya
Kulasekaran Nadhamuni
A M Anand
Mohamed Rafi Kathar Hussain
An odd cause of the lower limb restriction: Emphysematous pyelonephritis
BLDE University Journal of Health Sciences
emphysematous
fasciitis
necrotizing
pyelonephritis
title An odd cause of the lower limb restriction: Emphysematous pyelonephritis
title_full An odd cause of the lower limb restriction: Emphysematous pyelonephritis
title_fullStr An odd cause of the lower limb restriction: Emphysematous pyelonephritis
title_full_unstemmed An odd cause of the lower limb restriction: Emphysematous pyelonephritis
title_short An odd cause of the lower limb restriction: Emphysematous pyelonephritis
title_sort odd cause of the lower limb restriction emphysematous pyelonephritis
topic emphysematous
fasciitis
necrotizing
pyelonephritis
url http://www.bldeujournalhs.in/article.asp?issn=2468-838X;year=2020;volume=5;issue=2;spage=222;epage=225;aulast=Adhithiya
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