Massive bilateral grade IV emphysematous pyelonephritis: Case report
Emphysematous pyelonephritis (EPN) is a severe disease of the renal system in which gas formed by facultative anaerobe microorganisms accumulates, being Escherichia coli the most representative causative agent. A series of conditions foster its development including uncontrolled diabetes mellitus, d...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250922002748 |
| _version_ | 1811299641365364736 |
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| author | Carlos Adrián Pérez Martínez Ixchel Guadalupe Rodríguez Barajas Maria Fernanda Carballar Jeréz Brenda Lara González Luis Jonathan Ramírez Porras Luis Alberto García Fierro Edmundo Rivero Sánchez |
| author_facet | Carlos Adrián Pérez Martínez Ixchel Guadalupe Rodríguez Barajas Maria Fernanda Carballar Jeréz Brenda Lara González Luis Jonathan Ramírez Porras Luis Alberto García Fierro Edmundo Rivero Sánchez |
| author_sort | Carlos Adrián Pérez Martínez |
| collection | DOAJ |
| description | Emphysematous pyelonephritis (EPN) is a severe disease of the renal system in which gas formed by facultative anaerobe microorganisms accumulates, being Escherichia coli the most representative causative agent. A series of conditions foster its development including uncontrolled diabetes mellitus, diabetic nephropathy and obstructive uropathy. Abdominal CT scan continues to be the gold standard for diagnosis. Currently, nephrectomy is avoided as much as possible, and more conservative treatments are given. Mortality is still as high as 21 % despite new therapeutic options, all of which are mostly surgical. The rarest cases are those classified as grade IV, which affect both kidneys; these are considered the most lethal of the clinical presentations and they are also of particular interest, since a multidisciplinary team must be in charge of treatment. Herein, we present the case of an elderly woman with chronic diseases and a presentation of massive emphysematous pyelonephritis concurrent with emphysematous cystitis and pneumoperitoneum, who required bilateral radical nephrectomy despite efforts of preserving at least one of the kidneys. |
| first_indexed | 2024-04-13T06:39:48Z |
| format | Article |
| id | doaj.art-f4f007934c4d436586f0b7198ffe101e |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-04-13T06:39:48Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-f4f007934c4d436586f0b7198ffe101e2022-12-22T02:57:47ZengElsevierIDCases2214-25092022-01-0130e01646Massive bilateral grade IV emphysematous pyelonephritis: Case reportCarlos Adrián Pérez Martínez0Ixchel Guadalupe Rodríguez Barajas1Maria Fernanda Carballar Jeréz2Brenda Lara González3Luis Jonathan Ramírez Porras4Luis Alberto García Fierro5Edmundo Rivero Sánchez6Department of Internal Medicine, Regional General Hospital Num. 72 “Lic. Vicente Santos Guajardo”, Mexican Social Security Institute, Tlalnepantla de Baz, State of Mexico, Mexico; Correspondence to: Av. Filiberto Gomez NN, Col industrial, ZIP 54000, Tlalnepantla de Baz, State of Mexico, Mexico.Department of Internal Medicine, Regional General Hospital Num. 72 “Lic. Vicente Santos Guajardo”, Mexican Social Security Institute, Tlalnepantla de Baz, State of Mexico, MexicoDepartment of Internal Medicine, Regional General Hospital Num. 72 “Lic. Vicente Santos Guajardo”, Mexican Social Security Institute, Tlalnepantla de Baz, State of Mexico, MexicoDepartment of Internal Medicine, Regional General Hospital Num. 72 “Lic. Vicente Santos Guajardo”, Mexican Social Security Institute, Tlalnepantla de Baz, State of Mexico, MexicoDepartment of General Surgery, High Specialty Regional Hospital ''Bicentenario de la independencia'', Institute for Social Security and Services for State Workers, Tultitlan de mariano escobedo, State of México, MexicoDepartment of Internal Medicine, General Hospital Ajusco Medio, Secretary of Health of Mexico City, Mexico City, MexicoDepartment of Internal Medicine, Regional General Hospital Num. 72 “Lic. Vicente Santos Guajardo”, Mexican Social Security Institute, Tlalnepantla de Baz, State of Mexico, MexicoEmphysematous pyelonephritis (EPN) is a severe disease of the renal system in which gas formed by facultative anaerobe microorganisms accumulates, being Escherichia coli the most representative causative agent. A series of conditions foster its development including uncontrolled diabetes mellitus, diabetic nephropathy and obstructive uropathy. Abdominal CT scan continues to be the gold standard for diagnosis. Currently, nephrectomy is avoided as much as possible, and more conservative treatments are given. Mortality is still as high as 21 % despite new therapeutic options, all of which are mostly surgical. The rarest cases are those classified as grade IV, which affect both kidneys; these are considered the most lethal of the clinical presentations and they are also of particular interest, since a multidisciplinary team must be in charge of treatment. Herein, we present the case of an elderly woman with chronic diseases and a presentation of massive emphysematous pyelonephritis concurrent with emphysematous cystitis and pneumoperitoneum, who required bilateral radical nephrectomy despite efforts of preserving at least one of the kidneys.http://www.sciencedirect.com/science/article/pii/S2214250922002748Emphysematous PyelonephritisUTIPneumoperitoneumNephrectomy |
| spellingShingle | Carlos Adrián Pérez Martínez Ixchel Guadalupe Rodríguez Barajas Maria Fernanda Carballar Jeréz Brenda Lara González Luis Jonathan Ramírez Porras Luis Alberto García Fierro Edmundo Rivero Sánchez Massive bilateral grade IV emphysematous pyelonephritis: Case report IDCases Emphysematous Pyelonephritis UTI Pneumoperitoneum Nephrectomy |
| title | Massive bilateral grade IV emphysematous pyelonephritis: Case report |
| title_full | Massive bilateral grade IV emphysematous pyelonephritis: Case report |
| title_fullStr | Massive bilateral grade IV emphysematous pyelonephritis: Case report |
| title_full_unstemmed | Massive bilateral grade IV emphysematous pyelonephritis: Case report |
| title_short | Massive bilateral grade IV emphysematous pyelonephritis: Case report |
| title_sort | massive bilateral grade iv emphysematous pyelonephritis case report |
| topic | Emphysematous Pyelonephritis UTI Pneumoperitoneum Nephrectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2214250922002748 |
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