scholarly journals Emphysematous Pyelonephritis: Successfully Managed with Conventional Approach

2016 ◽  
Vol 27 (2) ◽  
pp. 78-80
Author(s):  
Tabassum Samad ◽  
Wasim Md Mohosin Ul Haque ◽  
Muhammad Abdur Rahim ◽  
MA Rahim ◽  
Sarwar Iqbal
Keyword(s):  
Diabetes Mellitus ◽  
Abdominal Pain ◽  
Conventional Approach ◽  
Open Drainage ◽  
Emphysematous Pyelonephritis ◽  
Gas Accumulation ◽  
Patients With Diabetes

Emphysematous pyelonephritis is a rare necrotizing renal parenchymal infection characterized by gas accumulation in kidneys with or without involving surrounding structures. Patients with diabetes mellitus are the usual sufferers. Here we depict a case of a young Bangladeshi diabetic lady who presented with abdominal pain and dysuria. Investigations confirmed left sided emphysematous pyelonephritis. She responded well to open drainage along with antibiotic coverage.Bangladesh J Medicine Jul 2016; 27(2) : 78-80

scholarly journals Emphysematous Pyelonephritis in a 32-Year-Old Diabetic Female

2015 ◽  
Vol 5 (2) ◽  
pp. 122-124
Author(s):  
Muhammad Abdur Rahim ◽  
Mehruba Alam Ananna ◽  
Tabassum Samad ◽  
Tufayel Ahmed Chowdhury ◽  
Wasim Md Mohosinul Haque ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Abdominal Pain ◽  
Case History ◽  
Emphysematous Pyelonephritis ◽  
Gas Accumulation ◽  
Patients With Diabetes ◽  
History Of

Emphysematous pyelonephritis is a rare, severe, necrotizing renal parenchymal infection characterized by gas accumulation in kidney(s) with or without involving surrounding tissues. Patients with diabetes mellitus are the usual sufferers. Here we describe a case history of a young Bangladeshi diabetic lady who presented with dysuria, fever and abdominal pain. Investigations confirmed left sided emphysematous pyelonephritis. She responded to and recovered with intravenous antibiotics.J Enam Med Col 2015; 5(2): 122-124

scholarly journals Microbiological profile and treatment outcome of emphysematous pyelonephritis: experience from two teaching hospitals of Bangladesh

2021 ◽  
Vol 11 (2) ◽  
pp. 108-111
Author(s):  
Juli Chowdhury ◽  
Nirmol Kumar Biswas ◽  
Shamima Sharmin Kanta ◽  
Muhammad Abdur Rahim ◽  
Wasim Md Mohosin Ul Haque ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Kidney Transplant Recipient ◽  
Renal Stones ◽  
Teaching Hospitals ◽  
Open Drainage ◽  
Emphysematous Pyelonephritis ◽  
E Coli ◽  
Class 1 ◽  
Patients With Diabetes ◽  
Study Participants

Background: Emphysematous pyelonephritis (EPN) is a rare severe necrotizing infection of the renal parenchyma, collecting system and/or perirenal tissues. Patients with diabetes mellitus, renal stones and renal tract obstruction are at risk for development of EPN. Escherichia coli is the most common aetiological agent and treatment is aimed at infection control and interventions in appropriate cases. This study aimed to identify the aetiological agents responsible for EPN and the outcome of such cases. Methods: This observational study was done in BIRDEM General Hospital and Bangabandhu Sheikh Mujib Medical University over a period of three years (2011-2013). Twenty adult EPN cases were included in this study. Results: The mean age of the study participants was 59.2 years with female predominance (80%). Risk factors included diabetes mellitus (90%), renal stones (5%) and kidney transplant recipient (5%). Fever, loin pain and dysuria were common. Six patients had class 1 EPN, seven had class 2 disease, five had class 3 and two patients had class 4 EPN. Aetiological agents were cultured in 19 cases; E. coli in 12 (68%), Klebsiella in three (16%), Pseudomonus in two (11%) and Proteus and Enterococcus, one each (5% each). Carbapenems appeared as the most sensitive antibiotic. Along with antibiotic, half of the patients required interventions; percutaneous drainage in two, open drainage in two and six patients required nephrectomy. Regarding outcome, five patients died, 10 patients recovered completely and five patients recovered with residual renal dysfunction. Conclusion: E. coli was the most common causative agent in present EPN cohort. Outcome was poor. With improved management strategy, combining nephrologists, intervention radiologists and urologists – all together, a good outcome is expected. Birdem Med J 2021; 11(2): 108-111

scholarly journals Diagnosis And Treatment Of Emphysematous Pyelonephritis In Patients With Diabetes

2021 ◽  
Vol 03 (01) ◽  
pp. 87-90
Author(s):  
Nurillo Makhmudov ◽  
◽  
Zukhra Kosimova ◽  
Keyword(s):  
Diabetes Mellitus ◽  
Rare Disease ◽  
Diagnosis And Treatment ◽  
Medical Institute ◽  
Emphysematous Pyelonephritis ◽  
Glucose Levels ◽  
Blood Tests ◽  
Post Surgery ◽  
Patients With Diabetes

In this study we report on our experience in treating two patients diagnosed with a rare disease of emphysematous pyelonephritis, who were admitted to the Urology department of Fergana Medical Institute during 2018. We provide details on each test conducted on patients, pre- and post-surgery. Our analysis shows that to prevent complications in patients with diabetes mellitus, dispensary observation with control of glucose levels, urine and blood tests is necessary.

Volvulus of the Small Bowel in Adults

2009 ◽  
Vol 75 (12) ◽  
pp. 1179-1182 ◽  
Author(s):  
Jaime Ruiz-Tovar ◽  
Vicente Morales ◽  
Alfonso Sanjuanbenito ◽  
Eduardo Lobo ◽  
Enrique Martinez-Molina
Keyword(s):  
Diabetes Mellitus ◽  
Abdominal Pain ◽  
Small Bowel ◽  
Ct Scan ◽  
Bowel Obstruction ◽  
Surgical Complications ◽  
Diagnostic Method ◽  
Small Bowel Volvulus ◽  
Previous Abdominal Surgery ◽  
Patients With Diabetes

The volvulus of the small bowel is a surgical emergency, causing small bowel obstruction. We performed a retrospective study of all the patients diagnosed and treated with small bowel volvulus between 1977 and 2007 at our institution. One hundred twenty-nine patients were analyzed. Thirty-nine patients presented primary volvulus and 90 secondary ones. The most frequent symptom was sudden abdominal pain. CT scan was the best diagnostic method with an accuracy of 83 per cent. Necrotic small bowel loops appeared in 46.5 per cent of the patients. Eighteen patients had postoperative complications (14%). Mortality rate was 9.3 per cent. A higher mortality is observed among patients with previous abdominal surgeries and cardiopathies. Necrotic loops are associated with higher mortality and incidence of surgical complications; patients with diabetes are associated with a higher incidence of necrotic loops. Cardiopathies are associated with more frequent medical and surgical complications. Recurrence rate was 3.9 per cent associated with simple devolvulation. Primary volvulus are more frequent among males and patients with diabetes. Jejunal location is associated with primary volvulus and these correlate with a higher incidence of necrotic loops. Primary volvulus presents a higher incidence of surgical complications. A bowel obstruction with sudden abdominal pain must be suspicious of small bowel volvulus. The main aim is to achieve an early diagnosis to prevent a necrotic small bowel. CT scan is the imaging test with the best diagnostic accuracy. Primary volvulus, the presence of necrotic loops, and patients with cardiopathies, diabetes mellitus, and with previous abdominal surgery are associated with a worse outcome.

scholarly journals SAT-453 EMPHYSEMATOUS PYELONEPHRITIS: ORGAN THREATENING INFECTION AMONG PATIENTS WITH DIABETES MELLITUS

2020 ◽  
Vol 5 (3) ◽  
pp. S189-S190
Author(s):  
M. Rahim ◽  
M. Ananna ◽  
T. Chowdhury ◽  
M. Mehfuz-E-Khoda ◽  
S. Iqbal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Emphysematous Pyelonephritis ◽  
Patients With Diabetes

scholarly journals Emphysematous pyelonephritis: non surgical treatment approach

2015 ◽  
Vol 14 (3) ◽  
pp. 305-307
Author(s):  
Kiran Kumar Singal ◽  
Neerja Singal ◽  
Bhaskar Gupta ◽  
Karun Puran Bhatti ◽  
Abhinav Gupta
Keyword(s):  
Diabetes Mellitus ◽  
Left Kidney ◽  
Medical Science ◽  
Severe Infection ◽  
Lumbar Region ◽  
Emphysematous Pyelonephritis ◽  
Patients With Diabetes ◽  
Life Threatening ◽  
High Doses

Emphysematous pyelonephritis is a severe infection characterized by the presence of gas within the renal parenchyma tissues. It is a life threatening complication of bacterial interstitial nephritis, and it mainly occurs in patients with diabetes mellitus. We report a case of a 37 year old female who complained of fever and pain in left lumbar region on admission. Her past medical history included uncontrolled type 2 diabetes mellitus. On USG (ultrasonography), left kidney swollen and show echogenic linear specs with dirty shadowing suggestive of air in pelvicalyceal system (PCS). She was treated with intensive antibiotic therapy in high doses. On repeat USG there was marked reduction in air shadow in kidney and patient improved clinically.Bangladesh Journal of Medical Science Vol.14(3) 2015 p.305-307

MP146CLINICAL PROFILE AND IMMEDIATE MANAGEMENT OUTCOME OF EMPHYSEMATOUS AND NON-EMPHYSEMATOUS PYELONEPHRITIS IN PATIENTS WITH DIABETES MELLITUS

2017 ◽  
Vol 32 (suppl_3) ◽  
pp. iii481-iii482
Author(s):  
Tabassum Samad ◽  
Wasim Haque ◽  
Muhammad Rahim ◽  
Shudhanshu Shaha ◽  
Mehruba Ananna ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Emphysematous Pyelonephritis ◽  
Patients With Diabetes

Diverticular colon disease in patients with type 2 diabetes mellitus

2021 ◽  
Author(s):  
A. E. Dorofeyev ◽  
S. M. Tkach ◽  
I. A. Derkach ◽  
V. A. Gdal ◽  
Yu. Z. Dinya ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Abdominal Pain ◽  
Dietary Fiber ◽  
Bacterial Overgrowth ◽  
Control Group ◽  
Hydrogen Breath Test ◽  
Patients With Diabetes

The aim of this study was to investigate the prevalence and features of the course of diverticular colon disease in patients with type 2 diabetes mellitus in the population of Ukrainian patients, as well as to analyze the effectiveness of the use of combination therapy using dietary fiber and rifaximin in these patients. Materials and methods. We observed 140 patients with type 2 diabetes mellitus (DM 2). The age of the patients ranged from 39 to 69 years (mean age 53.1 ± 5.2 years), among the patients there were 84 women (60 %) and 56 men (40 %). The control group consisted of 67 patients with diverticular colon disease (DCD) without DM 2. Patients who complained of abdominal pain, flatulence, abnormal stool, abdominal discomfort underwent a hydrogen breath test with lactulose to establish bacterial overgrowth syndrome (SIBO) and colonoscopy. Patients with diabetes mellitus, in whom DCD was found and patients in the control group, in the presence of complaints, were prescribed rifaximin (Alpha normix) at a dose of 1200 mg per day for 14 days. After that, they were prescribed a diet with an increase in dietary fiber, and rifaximin at a dose of 800 mg per day for the first 7 days of each month. The patients were followed up for 6 months, patients were recommended to keep a diary of stool control, general condition and abdominal pain. Results. Diverticular colon disease in patients with type 2 diabetes occurs with a frequency similar to that in the general population. DCD in DM 2 correlates with age and occurs mainly in patients over 55 years old, both in men and women. Most often, diverticulars are localized in the left half of the large bowel. Complaints of abdominal pain and stool disturbance in these patients are combined with SIBO, which is more intense in patients with DCD and DM 2. Conclusions. It is advisable to use repeated courses of rifaximin 1200 mg per day for 2 weeks for the treatment of DCD in DM 2. When carrying out maintenance treatment, it may be advisable to increase the duration of rifaximin 800 mg per day from 7 to 10 first days of the month in combination with a diet enriched with dietary fiber.  

scholarly journals Emphysematous pyelonephritis: a rare case report

2017 ◽  
Vol 4 (2) ◽  
pp. 596
Author(s):  
Shubhransu Patro ◽  
Pankaj Kumar Khora ◽  
Sukanta Kumar Padhy
Keyword(s):  
Diabetes Mellitus ◽  
Rare Case ◽  
Flank Pain ◽  
Emphysematous Pyelonephritis ◽  
Patients With Diabetes ◽  
Rare Case Report ◽  
Life Threatening ◽  
History Of ◽  
Aggressive Medical Management ◽  
Previous Medical History

Emphysematous pyelonephritis (EPN) is a rare and life threatening infection of kidney characterized by gas in the renal parenchyma and surrounding tissues. It occurs mostly in patients with diabetes mellitus and has a predilection for females. It is associated with a high mortality in the absence of rapid and effective treatment; therefore, aggressive medical management, early intervention or surgical approach is recommended. Reported here is a case of a 52-year female with previous medical history of diabetes presented with uncontrolled hyperglycaemia, fever and dysuria with right sided flank pain. She was diagnosed with emphysematous pyelonephritis and successfully treated. As emphysematous pyelonephritis is a life-threatening infection, it should always be considered in the differential diagnosis for a patient with fever with abdominal pain or suspected pyelonephritis particularly in a diabetic.

Intramuscular Nerve and Neuromuscular Junction Alteration In Extraocular Muscles of Diabetic Mice

1985 ◽  
Vol 43 ◽  
pp. 682-683
Author(s):  
Bruce R. Pachter
Keyword(s):  
Diabetes Mellitus ◽  
Peripheral Nerves ◽  
Sudden Onset ◽  
Extraocular Muscles ◽  
Diabetic Patients ◽  
Oculomotor Palsy ◽  
Third Nerve Palsy ◽  
Patients With Diabetes ◽  
Intramuscular Nerve ◽  
Oculomotor Nerves

Diabetes mellitus is one of the commonest causes of neuropathy. Diabetic neuropathy is a heterogeneous group of neuropathic disorders to which patients with diabetes mellitus are susceptible; more than one kind of neuropathy can frequently occur in the same individual. Abnormalities are also known to occur in nearly every anatomic subdivision of the eye in diabetic patients. Oculomotor palsy appears to be common in diabetes mellitus for their occurrence in isolation to suggest diabetes. Nerves to the external ocular muscles are most commonly affected, particularly the oculomotor or third cranial nerve. The third nerve palsy of diabetes is characteristic, being of sudden onset, accompanied by orbital and retro-orbital pain, often associated with complete involvement of the external ocular muscles innervated by the nerve. While the human and experimental animal literature is replete with studies on the peripheral nerves in diabetes mellitus, there is but a paucity of reported studies dealing with the oculomotor nerves and their associated extraocular muscles (EOMs).

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