Open AccessEmphysematous pyelonephritis: outcomes of conservative management and literature review
Author(s) -
Stuart Deoraj,
Fady Zakharious,
Ashraf Nasim,
Constantinos G Missouris
Publication year - 2018
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-225931
Subject(s) - medicine , antimicrobial , nephrectomy , intensive care medicine , conservative management , intervention (counseling) , rare disease , surgery , disease , kidney , chemistry , organic chemistry , psychiatry
Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, predominantly associated with Escherichia coli infection and unless promptly recognised and dealt with, it carries a poor prognosis. The current treatment is one of antimicrobial therapies together with nephrectomy in a majority of patients. We report an elderly man with multiple comorbidities with a diagnosis of EPN whose condition improved with antimicrobial and supportive therapy, and no surgical intervention was required.