Open Access
Emphysematous Pyelitis With Query Intraparenchymal Involvement
Author(s) -
Taraneh Tofighi,
Karen Lien,
Raphael Rush
Publication year - 2019
Publication title -
canadian journal of general internal medicine
Language(s) - English
Resource type - Journals
eISSN - 2369-1778
pISSN - 1911-1606
DOI - 10.22374/cjgim.v14i4.330
Subject(s) - medicine , context (archaeology) , resuscitation , medical history , blood sugar , past medical history , surgery , diabetes mellitus , endocrinology , paleontology , biology
We report the ccase of a 65-year-old woman presenting with urosepsis in the context of a one-week history of progressive right flank pain and a past medical history of type 2 diabetes mellitus. Computed Tomography (CT) demonstrated evidence of emphysematous pyelitis, a rare infection caused by gas-producing bacteria associated with elevated blood glucose. The patient responded well to fluid resuscitation and was discharged home with follow-up arranged for blood sugar management and outpatient lithotripsy addressing obstructive renal calculus.