Open AccessA case of emphysematous pyelonephritis induced by Citrobacter freundii infection
Author(s) -
Youichi Yanagawa,
Yohei Hirano,
Naoko Matsumoto,
Tatsuya Ogishima
Publication year - 2013
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.120380
Subject(s) - citrobacter freundii , bacteremia , medicine , nephrectomy , citrobacter , vomiting , diabetes mellitus , surgery , blood culture , kidney , enterobacteriaceae , microbiology and biotechnology , endocrinology , antibiotics , escherichia coli , biochemistry , chemistry , biology , gene
A 79-year-old female with diabetes mellitus had general fatigue, a high fever and vomiting. A CT revealed acute emphysematous pyelonephritis (EPN). A nephrectomy was performed on the 2(nd) hospital day. The results of the blood culture showed the presence of Citrobacter freundii infection. The patient's post-operative course was uneventful. This case is the second reported case of EPN induced by Citrobacter freundii. Bacteremia induced by Citrobacter freundii infection typically results in a high mortality rate. In this case, the early diagnosis of the EPN using CT and immediate medical treatment, including urgent elective nephrectomy, were key to the favorable outcome.