Open AccessNephron Sparing Management of Complex Emphysematous Urinary Tract Infection of the Whole Urinary System: A Case Report
Author(s) -
Ahmad Jaradat,
Ahmed I Ghanem,
Ali Shakhshir,
Faris Abushamma
Publication year - 2021
Publication title -
scholars journal of medical case reports
Language(s) - English
Resource type - Journals
eISSN - 2347-9507
pISSN - 2347-6559
DOI - 10.36347/sjmcr.2021.v09i12.010
Subject(s) - urinary system , medicine , nephron , kidney , urology , urinary tract obstruction , renal function , surgery
Emphysematous urinary tract infections (EUI) are rare life-threatening infections that are often found in diabetic patients with a predilection for females. Emphysematous pyelonephritis (EPN) is more frequently reported than emphysematous cystitis (EC). However, concurrent occurrence has been reported as well. On the other hand, ureteric involvement in cases of EUI has not been described well in the literature. Treatment should be aggressive as the rate of death can be as high as 15.4%. Early surgical intervention has been described for severe infections. However, conservative approach has also been adopted especially in cases where preserving kidney function is of utmost importance. We present a 22-year-old lady who is known to have chronic kidney disease, bladder dysfunction and multiple reconstructive urological procedures, presented with emphysematous urinary tract infection affecting the whole urinary system (both kidneys, ureters and urinary bladder), which was successfully treated in a nephron sparing approach.