Open AccessSuccessful conservative treatment of bilateral emphysematous pyelonephritis in autosomal dominant polycystic kidney disease
Author(s) -
K Jaisuresh,
R Bavaharan
Publication year - 2013
Publication title -
indian journal of nephrology/indian journal of nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.317
H-Index - 24
eISSN - 1998-3662
pISSN - 0971-4065
DOI - 10.4103/0971-4065.111864
Subject(s) - medicine , autosomal dominant polycystic kidney disease , polycystic kidney disease , conservative treatment , disease , polycystic kidney , kidney , urology , pathology , surgery
Emphysematous pyelonephritis is a rare, potentially lethal complication of polycystic kidney disease. Treatment mostly includes emergency nephrectomy of the affected kidney. We report a case of bilateral emphysematous pyelonephritis in a 57-year-old diabetic male with autosomal dominant polycystic kidney disease, who recovered with conservative treatment. Escherichia coli was cultured from the cyst aspirate. He was treated with percutaneous needle aspiration of infected cysts and intravenous antibiotics (meropenem and pazufloxacin) for 3 weeks.