A rare neurological presentation of emphysematous pyelonephritis

Emphysematous pyelonephritis (EPN) is an acute necrotizing infection of the kidney with features of air formation in the pelvicalyceal system, renal parenchyma, and surrounding structures. Although septic embolization has been reported to occur in distant organs, air pockets occurring intracranially...

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Main Authors: S Lal Darsan, Biju S Pillai, H Krishnamoorthy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Urology
Online Access:http://www.indianjurol.com/article.asp?issn=0970-1591;year=2022;volume=38;issue=4;spage=315;epage=316;aulast=
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author S Lal Darsan
Biju S Pillai
H Krishnamoorthy
author_facet S Lal Darsan
Biju S Pillai
H Krishnamoorthy
author_sort S Lal Darsan
collection DOAJ
description Emphysematous pyelonephritis (EPN) is an acute necrotizing infection of the kidney with features of air formation in the pelvicalyceal system, renal parenchyma, and surrounding structures. Although septic embolization has been reported to occur in distant organs, air pockets occurring intracranially leading to neurological manifestations in EPN have not been reported in the literature. We present a case report of a patient with EPN showing air pockets in renal parenchyma, pelvicalyceal system, renal vein, inferior vena cava, and multiple intracranial venous sinuses, presenting predominantly with neurological symptoms. This patient was aggressively managed with antibiotics, ureteral stenting, and drainage of the right kidney.
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spelling doaj.art-dbcb107a2a054f3eb0db97510400e9e02022-12-22T04:14:09ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242022-01-0138431531610.4103/iju.iju_145_22A rare neurological presentation of emphysematous pyelonephritisS Lal DarsanBiju S PillaiH KrishnamoorthyEmphysematous pyelonephritis (EPN) is an acute necrotizing infection of the kidney with features of air formation in the pelvicalyceal system, renal parenchyma, and surrounding structures. Although septic embolization has been reported to occur in distant organs, air pockets occurring intracranially leading to neurological manifestations in EPN have not been reported in the literature. We present a case report of a patient with EPN showing air pockets in renal parenchyma, pelvicalyceal system, renal vein, inferior vena cava, and multiple intracranial venous sinuses, presenting predominantly with neurological symptoms. This patient was aggressively managed with antibiotics, ureteral stenting, and drainage of the right kidney.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2022;volume=38;issue=4;spage=315;epage=316;aulast=
spellingShingle S Lal Darsan
Biju S Pillai
H Krishnamoorthy
A rare neurological presentation of emphysematous pyelonephritis
Indian Journal of Urology
title A rare neurological presentation of emphysematous pyelonephritis
title_full A rare neurological presentation of emphysematous pyelonephritis
title_fullStr A rare neurological presentation of emphysematous pyelonephritis
title_full_unstemmed A rare neurological presentation of emphysematous pyelonephritis
title_short A rare neurological presentation of emphysematous pyelonephritis
title_sort rare neurological presentation of emphysematous pyelonephritis
url http://www.indianjurol.com/article.asp?issn=0970-1591;year=2022;volume=38;issue=4;spage=315;epage=316;aulast=
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