scholarly journals A Lethal Case of a 3B Stage Emphysematous Pyelonephritis

2021 ◽  
pp. 1-3
Author(s):  
Maciej Salagierski ◽  
Jakub Szczepanski ◽  
Jaroslaw Rysz ◽  
Maciej Stroczynski ◽  
Aras Almohammad ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Fluid Resuscitation ◽  
Standard Treatment ◽  
Treatment Approach ◽  
Current Treatment ◽  
Renal Parenchyma ◽  
Emphysematous Pyelonephritis ◽  
Patients With Diabetes ◽  
Perinephric Space

Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, leading to the accumulation of gas within the kidney and in the perinephric space. Patients with diabetes account for 85-100% of cases. The current treatment is one of the potent antimicrobial therapies together with kidney drainage and fluid resuscitation. Nephrectomy should be considered if patients deteriorate or do not improve on conservative treatment. We report a case of 62-year-old woman with multiple comorbidities, with a diagnosis of EPN whose condition did not improve despite the standard treatment approach.

scholarly journals Emphysematous pyelonephritis: outcomes of conservative management and literature review

2018 ◽  
pp. bcr-2018-225931 ◽  
Author(s):  
Stuart Deoraj ◽  
Fady Zakharious ◽  
Ashraf Nasim ◽  
Constantinos Missouris
Keyword(s):  
Escherichia Coli ◽  
Literature Review ◽  
Conservative Management ◽  
Poor Prognosis ◽  
Surgical Intervention ◽  
Supportive Therapy ◽  
Current Treatment ◽  
Renal Parenchyma ◽  
Emphysematous Pyelonephritis

Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, predominantly associated with Escherichia coli infection and unless promptly recognised and dealt with, it carries a poor prognosis. The current treatment is one of antimicrobial therapies together with nephrectomy in a majority of patients. We report an elderly man with multiple comorbidities with a diagnosis of EPN whose condition improved with antimicrobial and supportive therapy, and no surgical intervention was required.

Conservative treatment of cephalohematoma in children of the first two months of life

2020 ◽  
pp. 10-12
Keyword(s):  
Conservative Treatment ◽  
Current Treatment

Cephalohematoma remains a serious and important problem of healthcare, its incidence tendency to decrease. Current treatment tactics remains controversial and is determined the presence of concomitant pathology and the tendency to resorption or progression. the effectiveness of osteopathic correction of cephalohematomas in children of the first two months of life. Materials and methods: on the basis of «Family Osteopathy Clinic» correction for children of the first two months of life who came to the clinic because of the first time.Osteopathic correction of cephalohematoma in children in the first two efficient.

Sonographic Discovery of Segmental Testicular Infarction

2021 ◽  
pp. 875647932110649
Author(s):  
Kelly Pham
Keyword(s):  
Conservative Treatment ◽  
Testicular Torsion ◽  
Treatment Process ◽  
Surgical Intervention ◽  
Treatment Approach ◽  
Accurate Diagnosis ◽  
Sonographic Diagnosis ◽  
Testicular Infarction ◽  
Segmental Testicular Infarction

The prevalence of segmental testicular infarction is extremely uncommon and very few cases have been reported in literature. Clinical and sonographic presentation of this condition can mimic testicular neoplasms or testicular torsion. Therefore, accurate diagnosis of segmental testicular infarction is imperative in the treatment process. This case study presents the sonographic diagnosis of testicular infarction in a 49-year-old man who reported mild testicular tenderness. A conservative treatment approach was used, saving the patient unnecessary surgical intervention.

scholarly journals Depression and Anxiety among Patients with Type II Diabetes Mellitus in Chitwan Medical College Teaching Hospital, Nepal

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Kalpana Sharma ◽  
Govinda Dhungana ◽  
Shailendra Adhikari ◽  
Archana Bista Pandey ◽  
Muna Sharma
Keyword(s):  
Diabetes Mellitus ◽  
College Teaching ◽  
Educational Status ◽  
Current Treatment ◽  
Depression And Anxiety ◽  
Medical College ◽  
Prevalence Of Depression ◽  
Patients With Diabetes ◽  
History Of ◽  
Diabetes Patients

The prevalence of depression and anxiety disorders is common among people with diabetes mellitus. Coexistence of diabetes and depression/anxiety increases the risk of diabetes complications and reduces the overall quality of life. Hence, this study aimed to assess the depression and anxiety among patients with type 2 diabetes mellitus in Chitwan. Descriptive survey was carried out among 296 purposively selected clinically diagnosed type 2 diabetes patients admitted in the Chitwan Medical College Teaching Hospital from 15th June 2018 to 17th September 2019. Patients were interviewed using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorders-7 (GAD-7). Data were analyzed using descriptive and inferential statistics. Of 296 diabetic patients, 48.6% were 60 years and above, 59.5% female and 61.5% literate; their common occupation was agriculture (38.2%) followed by household work (26.4%). Nearly two-thirds (62.8%) of diabetes patients had other chronic comorbid conditions. Depression and anxiety were observed among 57.8% and 49.7% of diabetes patients, respectively. While observing the severity, 27.4%, 19.6%, 8.4%, and 2.4% of patients had mild, moderate, moderately severe, and severe depression, respectively. Likewise, 24.7%, 20.3%, and 4.7% of patients had mild, moderate, and severe anxiety, respectively. Current living status, educational status, medicine adherence, satisfaction toward current treatment, and history of mental illness in the family were found to be significant factors associated with the anxiety of patients with diabetes. Further, educational status, smoking habit, satisfaction towards current treatment, and history of diabetes in family were the factors associated with depression. Prevalence of depression and anxiety is high among admitted patients with diabetes mellitus, and many factors are associated with it. Hence, regular screening services are essential along with diabetes management plan for timely identification and treatment of the vulnerable groups in the healthcare centers.

scholarly journals Emphysematous Pyelonephritis Presenting as Pneumaturia and the Use of Point-of-Care Ultrasound in the Emergency Department

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Natasha Brown ◽  
Paul Petersen ◽  
David Kinas ◽  
Mark Newberry
Keyword(s):  
Emergency Department ◽  
Point Of Care ◽  
Left Kidney ◽  
Severe Infection ◽  
Renal Parenchyma ◽  
Surrounding Tissue ◽  
Dependent Diabetes Mellitus ◽  
Point Of Care Ultrasound ◽  
Emphysematous Pyelonephritis ◽  
Collecting System

Emphysematous pyelonephritis (EPN) is a rare form of pyelonephritis causing a severe infection of the renal system that includes gas in the renal parenchyma, collecting system and surrounding tissue often presenting with sepsis. We report the case of a 60-year-old male with poorly controlled insulin dependent diabetes mellitus who presented with abdominal pain, nausea, vomiting, and “peeing air.” CT scan revealed air extending from the left renal parenchyma, perinephric fat and into the bladder, consistent with emphysematous pyelonephritis. Bedside point-of-care ultrasound (POCUS) subsequently revealed dirty shadowing and reverberation artifacts in the left kidney and the bladder consistent with gas in the urinary collecting system. By understanding the identifying artifacts seen with EPN, reflective shadow and reverberation artifact, the emergency physician may be alerted to the diagnosis sooner. Often this illness presents similarly to simple, acute pyelonephritis or undifferentiated sepsis. Therefore, POCUS allows for real time consideration of this condition while in the emergency department and thus prompter time to treatment.

scholarly journals Different Imaging Modalities for Evaluating Emphysematous Pyelonephritis (EPN); a Life Threatening Urological Emergency – A case report

2018 ◽  
Vol 20 (1) ◽  
pp. 63
Author(s):  
Rawnak Afrin ◽  
ABM Golam Mostofa ◽  
Shankar Kumar Biswas ◽  
Sadia Hossain ◽  
Sanowar Hossain
Keyword(s):  
Left Kidney ◽  
Lower Abdominal Pain ◽  
Tertiary Hospital ◽  
Renal Parenchyma ◽  
Ct Number ◽  
Emphysematous Pyelonephritis ◽  
Left Flank ◽  
Life Threatening ◽  
Urological Emergency ◽  
Contrast Ct

<p>Emphysematous pyelonephritis (EPN) is a severe necrotizing infection of the renal parenchyma; it causes gas formation within the collecting system, renal parenchyma, and/or perirenal tissues. In this reported case, a female patient of 40 years was admitted in a tertiary hospital with history of severe left flank pain, lower abdominal pain, fever, vomiting and scanty micturition for three days. Ultrasonogram showed-normal right kidney but left renal bed reveals extensive air obscuring visualization of left kidney with probe tenderness in left flank. Contrast CT scan of KUB shows larger left kidney with extensive air (CT number = -1000 HU) within the renal parenchyma, collecting systems and perinephric space. This case was diagnosed as EPN. After conservative treatment patient was improved significantly.</p><p>Bangladesh J. Nuclear Med. 20(1): 63-66, January 2017</p>

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