Abstract
In any diabetic patient being diagnosed or treated for pyelonephritis, it is important to exclude the diagnosis of emphysematous pyelonephritis, which carries a high mortality rate. The authors present an illustrative case of emphysematous pyelonephritis treated with antibiotics and emergency nephrectomy. The signs, symptoms, pathophysiology, diagnosis, and treatment of emphysematous pyelonephritis are discussed.
MeSH terms
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Abscess / diagnosis
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Ampicillin / therapeutic use
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Anti-Bacterial Agents / therapeutic use
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Diabetic Nephropathies / diagnosis
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Drug Therapy, Combination / therapeutic use
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Emphysema / diagnosis*
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Emphysema / diagnostic imaging
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Emphysema / drug therapy
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Emphysema / microbiology
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Emphysema / surgery
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Escherichia coli Infections / diagnosis*
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Escherichia coli Infections / drug therapy
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Escherichia coli Infections / surgery
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Female
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Humans
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Infarction / diagnosis
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Kidney / blood supply
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Middle Aged
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Nephrectomy
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Penicillins / therapeutic use
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Pyelonephritis / diagnosis*
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Pyelonephritis / diagnostic imaging
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Pyelonephritis / drug therapy
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Pyelonephritis / microbiology
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Pyelonephritis / surgery
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Sulbactam / therapeutic use
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Tomography, X-Ray Computed
Substances
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Anti-Bacterial Agents
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Penicillins
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Ampicillin
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Sulbactam