Five Patients With Emphysematous Pyelonephritis

Authors

  • Indu Bhushan Dubey GTB Hospital & University College of Medical Sciences, Delhi, India Author
  • Vivek Agrawal GTB Hospital & University College of Medical Sciences, Delhi, India Author
  • Bhupendra Kumar Jain GTB Hospital & University College of Medical Sciences, Delhi, India Author

Abstract

Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma, resulting in presence of gas within either in the collecting system or perinephric space. We herein report our experience with 5 cases of emphysematous pyelonephritis in 2 men and 3 women managed by broad spectrum antibiotics, supportive measures including hemodialysis (2 patients), ureteral stenting (2 patients), surgical drainage of perinephric collection (1 patient), and control of diabetes mellitus (4 patients). Four patients were discharged after a mean hospital stay of 18 days. A nondiabetic male patient with a nonobstructed kidney died on the second postoperative day due to persistent septicemia despite nephrectomy. Emphysematous pyelonephritis is a potentially fatal disease requiring careful and prompt diagnosis and individualized rational therapy. Ureteropelvic stenting should be used for drainage of pent-up collections as a lifesaving measure through relieving the obstruction. Perinephric fluid collection should be drained either percutaneously or surgically.

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Author Biographies

  • Indu Bhushan Dubey, GTB Hospital & University College of Medical Sciences, Delhi, India

    Senior Resident

    Department of Surgery

  • Vivek Agrawal, GTB Hospital & University College of Medical Sciences, Delhi, India

    Professor

    Department of Surgery

  • Bhupendra Kumar Jain, GTB Hospital & University College of Medical Sciences, Delhi, India

    Professor and Head

    Department of Surgery

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Published

2011-04-26

Issue

Section

CASE REPORT | Kidney Diseases

How to Cite

Five Patients With Emphysematous Pyelonephritis. (2011). Iranian Journal of Kidney Diseases, 5(3), 204-206. https://ijkd.org/index.php/ijkd/article/view/362