scholarly journals Case of emphysematous pyelonephritis in kidney allograft: Conservative treatment

2014 ◽  
Vol 8 (3-4) ◽  
pp. 256 ◽  
Author(s):  
Antonio Tienza ◽  
Mateo Hevia ◽  
Imanol Merino ◽  
Jose Maria Velis ◽  
Ruben Algarra ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Escherichia Coli ◽  
Complete Resolution ◽  
Clinical Presentation ◽  
Kidney Transplant Recipient ◽  
Recurrent Fever ◽  
Emphysematous Pyelonephritis ◽  
Immune Incompetence ◽  
Acute Necrotizing ◽  
Perinephric Space

Emphysematous pyelonephritis is an acute necrotizing infection with gas in the kidney and perinephric space that carries a bad prognosis. Apart from its predisposing clinical entities, diabetes mellitus and immune-incompetence are quite common in patients with this infection. We report a case of a 53-year-old kidney transplant recipient diabetic male, suffering from recurrent fever, abdominal pain and nausea episodes. Immediate broad-spectrum antibiotics were administered and percutaneous drainage was performed after the diagnosis. The bacteria involved were Stahpylococcus epidermidis and Escherichia coli. After 4 weeks of antibiotic treatment and abscesses drainage, the case was resolved. Consecutives urine cultures and ultrasonographies confirm the complete resolution of the disease. We discuss the predisposing factors, clinical presentation and management.

Emphysematous pyelonephritis related to specific gas-forming Escherichia coli without diabetes mellitus

1999 ◽  
Vol 25 (6) ◽  
pp. 628-630 ◽  
Author(s):  
E. Hazouard ◽  
D. Barat ◽  
P. Lanotte ◽  
L. Brunereau ◽  
T. Lefrancq ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Escherichia Coli ◽  
Emphysematous Pyelonephritis

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 Emphysematous pyelonephritis

2016 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Md. Ismail Hossain ◽  
Mainuddin Ahmed ◽  
A. B. M. Mobasher Alam ◽  
Md. Nabiduzzamane Shazzad ◽  
Syed Jamil Abdal ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Literature Review ◽  
Female Patient ◽  
Early Treatment ◽  
Renal Parenchyma ◽  
High Rate ◽  
Emphysematous Pyelonephritis ◽  
Acute Necrotizing ◽  
History Of ◽  
Prompt Diagnosis

Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma, prompt diagnosis and early treatment is crucial because of the high rate of mortality. We report a case of a 55-year-old female patient with ten-year history of diabetes mellitus presented with pain in right flank, fever and malaise. She was diagnosed as a case of emphyse­matous pyelonephritis, and was successfully treated in our department. The case is presented along with a literature review.

scholarly journals Emphysematous Pyelonephritis: Radiological Perspective

2013 ◽  
Vol 12 (1) ◽  
pp. 93-95
Author(s):  
Sajid Ansari ◽  
Kaleem Ahmad ◽  
Kanchan Dhungel ◽  
Panna Lal Sah ◽  
Mukesh Kumar Gupta ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Ct Scan ◽  
Computerized Tomography ◽  
Medical Science ◽  
Predisposing Factors ◽  
Ureteric Obstruction ◽  
Emphysematous Pyelonephritis ◽  
Acute Necrotizing

Emphysematous pyelonephritis (EPN) is an acute necrotizing parenchymal and perirenal infection and is caused by gas-forming organisms. Diabetes mellitus and ureteric obstruction are the predisposing factors for EPN. Computerized tomography (CT) scan is the modality of choice in diagnosing the disease, determining the extent of infection and helps in management. We report a case of emphysematous pyelonephritis in 52 years old man with emphasis on plain radiographic and CT scan findings. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13358 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.93-95

scholarly journals Emphysematous pyelonephritis: A rare cause of sepsis in hepatocellular carcinoma

2021 ◽  
pp. 201010582199280
Author(s):  
Hany Haqimi Wan Hanafi ◽  
Nazri Mustaffa ◽  
Yeong Yeh Lee ◽  
Siti Nurbaya Mohd Nawi
Keyword(s):  
Diabetes Mellitus ◽  
Computed Tomography ◽  
Hepatocellular Carcinoma ◽  
Liver Disease ◽  
Chronic Liver Disease ◽  
Surgical Intervention ◽  
Computed Tomography Scan ◽  
Emphysematous Pyelonephritis ◽  
Urological Emergency ◽  
Tomography Scan

The association between emphysematous pyelonephritis (EPN) and diabetes mellitus is well known. EPN as the cause of sepsis in hepatocellular carcinoma (HCC) is rare and unreported. We report a case of EPN in a non-diabetic HCC patient, in which the clinical features of decompensated chronic liver disease masked the more sinister urological emergency to a certain degree. A computed tomography scan of the abdomen revealed a mixture of gas and fluid in the left retrorenal space, in keeping with left EPN. Nevertheless, the course of clinical deterioration was rather rapid that any surgical intervention was not feasible.

Clinical Presentation and Autoimmune Characteristics of Very Young Children at the Onset of Type 1 Diabetes Mellitus

2010 ◽  
Vol 23 (11) ◽  
Author(s):  
Bizzarri Carla ◽  
Benevento Danila ◽  
Ciampalini Paolo ◽  
Patera Ippolita Patrizia ◽  
Schiaffini Riccardo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 1 Diabetes ◽  
Young Children ◽  
Type 1 Diabetes Mellitus ◽  
Clinical Presentation ◽  
Very Young Children

scholarly journals Gas in the kidney: a case of emphysematous pyelonephritis in a patient with uncontrolled diabetes mellitus

2021 ◽  
Vol 14 (7) ◽  
pp. e243891
Author(s):  
Abdul Wahab ◽  
Muhammad Hashim Hayat ◽  
Amman Yousaf ◽  
Raseen Tariq
Keyword(s):  
Diabetes Mellitus ◽  
Emphysematous Pyelonephritis ◽  
Uncontrolled Diabetes

scholarly journals Drinking water and diarrhoeal disease due to Escherichia coli

2003 ◽  
Vol 1 (2) ◽  
pp. 65-72 ◽  
Author(s):  
Paul R. Hunter
Keyword(s):  
Escherichia Coli ◽  
Drinking Water ◽  
Clinical Presentation ◽  
Diarrhoeal Disease ◽  
Central Place ◽  
E Coli ◽  
Related Disease ◽  
Direct Damage ◽  
Water Microbiology

Escherichia coli has had a central place in water microbiology for decades as an indicator of faecal pollution. It is only relatively recently that the role of E. coli as pathogen, rather than indicator, in drinking water has begun to be stressed. Interest in the role of E. coli as a cause of diarrhoeal disease has increased because of the emergence of E. coli O157:H7 and other enterohaemorrhagic E. coli, due to the severity of the related disease. There are enterotoxigenic, enteropathogenic, enterohaemorrhagic, enteroinvasive, enteroaggregative and diffusely adherent strains of E. coli. Each type of E. coli causes diarrhoeal disease through different mechanisms and each causes a different clinical presentation. Several of the types cause diarrhoea by the elaboration of one or more toxins, others by some other form of direct damage to epithelial cells. This paper discusses each of these types in turn and also describes their epidemiology, with particular reference to whether they are waterborne or not.

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