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emphysematous pyelonephritis

Andrew J Crouter, Michael K Abraham, R Gentry Wilkerson
No abstract text is available yet for this article.
September 22, 2016: American Journal of Emergency Medicine
Sung-Yuan Hu, Bor-Jen Lee, Che-An Tsai, Ming-Shun Hsieh
No abstract text is available yet for this article.
September 13, 2016: International Journal of Infectious Diseases: IJID
Gaku Yamamichi, Koichi Tsutahara, Sohei Kuribayashi, Masataka Kawamura, Kosuke Nakano, Nozomu Kishimoto, Go Tanigawa, Asako Matsushima, Satoshi Fujimi, Tetsuya Takao, Seiji Yamaguchi
A 40-year-old woman withuntreated type II diabetes mellitus was discovered withcardiopulmonary arrest in her room. On admission, she had ventricular fibrillation. After cardiopulmonary resuscitation, her own pulse restarted. The plasma glucose was 722 mg/dl and venous PH was 6.704. Abdominal computed tomography revealed gas within the parenchyma of the left kidney. We diagnosed her with emphysematous pyelonephritis and conducted emergency nephrectomy. Urinary and blood cultures were positive for Escherichia coli...
August 2016: Hinyokika Kiyo. Acta Urologica Japonica
Priya R Ambaram, Udai K Kala, Karen L Petersen
Emphysematous pyelonephritis is a severe necrotizing infection of the kidneys characterized by gas formation within the parenchyma, the collecting system or the perinephric tissue. To our knowledge, there have only been 4 cases of this condition reported in children. We report 2 additional cases in children managed at Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa.
October 2016: Pediatric Infectious Disease Journal
Dana Kivlin, Carmen Tong, Justin Friedlander, Patricia Perosio, Jay Simhan
BACKGROUND: Staghorn calculi are well-established risk factors for recurrent urinary tract infections (UTIs) and subsequent renal deterioration. Less commonly, long-term urothelial irritation from a calculus may also pose a risk of malignant transformation. CASE PRESENTATION: A 77-year-old male with multiple medical comorbidities presented with a chronic right renal pelvic staghorn calculus and findings concerning for emphysematous pyelonephritis. He was subsequently taken to the operating room for a planned laparoscopic right nephrectomy...
2016: J Endourol Case Rep
León Octavio Torres-Mercado, Miguel Ángel García-Padilla, Eduardo Serrano-Brambila, Efraín Maldonado-Alcaraz, Virgilio Augusto López-Sámano, Guillermo Montoya-Martínez, Jorge Moreno-Palacios
BACKGROUND: Emphysematous pyelonephritis (EPN) is a severe infection of the urinary tract, caused by gas accumulation within the collecting system, the renal parenchyma, and/or the perirenal tissue. The cause of this infection is not known at all; however, it has been suggested that it is produced by the glucose fermentation provoked by enterobacteriaceae or anaerobic organisms. Our objective was to evaluate the predictors of morbidity and mortality in patients diagnosed with EPN. METHODS: It was carried out a historical cohort study of patients diagnosed with EPN in our hospital from March 2005 to December 2014...
2016: Revista Médica del Instituto Mexicano del Seguro Social
Debiprasad Das, Dilip Kumar Pal
CONTEXT: Emphysematous pyelonephritis (EPN) is an acute necrotizing inflammation of renal parenchyma and peri-nephric tissue characterized by gas formation. In this study, we evaluated the outcome of EPN cases by medical management with or without renal decompression. MATERIALS AND METHODS: We have observed prospectively 15 cases of EPN admitted in our institute in respect to age, sex, mode of presentation, presence of comorbidity, laboratory profile, urine-analysis, and outcome after medical management and drainage procedures...
July 2016: Urology Annals
Raiz Ahmad Misgar, Idrees Mubarik, Arshad Iqbal Wani, Mir Iftikhar Bashir, Mahroosa Ramzan, Bashir Ahmad Laway
BACKGROUND: Emphysematous pyelonephritis (EPN) is a necrotizing infection which results in gas within the renal parenchyma, collecting system, or perinephric tissue. A majority of cases occur in patients with diabetes mellitus (DM). In EPN, early aggressive medical treatment may avoid nephrectomy. AIMS: The aim of this study was to analyze the characteristics of patients with EPN with respect to patient demographics, clinical presentation, diagnostic investigations, microbiological findings, treatment modality and outcome, and the influence of prognostic factors on the outcome...
July 2016: Indian Journal of Endocrinology and Metabolism
Yu-Chuan Lu, Jian-Hua Hong, Bing-Juin Chiang, Yuan-Hung Pong, Po-Ren Hsueh, Chao-Yuan Huang, Yeong-Shiau Pu
The aim of this study was to investigate the profiles of pathogens and patterns of antibiotic resistance of emphysematous pyelonephritis (EPN), offering recommendations for initial antibiotic treatment.Between January, 2001, and November, 2014, demographic data, presenting clinical features, management strategies, and treatment outcomes of 51 patients with EPN were retrospectively reviewed, analyzing microbiological characteristics of causative pathogens and patterns of antibiotic resistance.Overall survival rate was 90...
May 2016: Medicine (Baltimore)
Mohd Nazli Kamarulzaman, Siti Kamariah Che Mohamed
No abstract text is available yet for this article.
April 2016: Urology Annals
Fahad Saleh Alhajjaj, Farooq Pasha
Emphysematous pyelonephritis (EPN) is a rare disease with devastating outcomes in healthy adults. It may affect renal allografts resulting in higher mortality rate, graft loss and permanent dialysis. Presentation is highly variable and non-specific requiring higher degree of suspension. Optimal management of EPN is controversial with recent case reports challenging a previously suggested management pathway. We report a case of a 71-year-old man who presented in septic shock who was diagnosed with EPN in an allograft kidney in the emergency department, treated with antibiotics and medical support but died on the 6th day of presentation...
April 2016: International Journal of Health Sciences
Michael Yu, Kathryn Robinson, Cary Siegel, Christine Menias
This article provides pictorial review of complicated upper and lower genitourinary infections and their mimics. Imaging features of upper urinary tract infections including uncomplicated acute pyelonephritis, xanthogranulomatous pyelonephritis (XGPN), emphysematous pyelonephritis, perirenal abscess, and pyonephrosis are first reviewed and then followed by pictorial review of their mimics including contrast-associated nephrotoxicity, renal infarcts, malakoplakia, renal cell cancer, leukemia or lymphoma and Castleman's disease...
February 11, 2016: Current Problems in Diagnostic Radiology
Chen-Min Hung, I-Ting Tsai, Po-Jen Yang
No abstract text is available yet for this article.
March 18, 2016: CJEM
Rahul Kumar Bansal, Shahid Lambe, Anil Kapoor
Emphysematous pyelonephritis (EPN) in renal allograft is rare but potentially lethal complication and requires aggressive medical and/or surgical therapy to achieve cure. We report a case of 60-year-old diabetic male with poor cardiac function on maintenance hemodialysis, who underwent delayed allograft nephrectomy for EPN in failed renal allograft. Blood culture grew Bacteroides. He was stable in the postoperative period but passed away on day 4 due to myocardial infarction likely secondary to poor baseline cardiac function...
January 2016: Urology Annals
Soichiro Shimura, Ken-ichi Tabata, Dai Koguchi, Noriyuki Amano, Morihiro Nishi, Tetsuo Fujita, Kazumasa Matsumoto, Takefumi Satoh, Masatsugu Iwamura
Emphysematous pyelonephritis (EPN) is an acute, severe necrotizing infection of the renal parenchyma and perirenal tissue. A 72-year-old female patient with uncontrolled diabetes mellitus was admitted to a hospital with loss of consciousness and, fever. Laboratory data suggested acute inflammation and hyperosmolar hyperglycemic syndrome. The left EPN was accurately diagnosed after abdominal computed tomographic (CT) scan revealed renal parenchymal gas and fluid within the subcutaneous tissue and mediastinum...
December 2015: Hinyokika Kiyo. Acta Urologica Japonica
Mao Li Cheng, Hasnizal Nording, Chen Hong Lim
Emphysematous pyelonephritis is a rare life-threatening condition caused by a severe acute necrotising infection of the renal parenchyma and its perinephric tissues, and it is commonly seen in diabetic patients. There is a rare association between emphysematous pyelonephritis and hepatic portal venous gas. Hepatic portal venous gas is an uncommon radiological finding, which implies a significant underlying abdominal disease. The management of emphysematous pyelonephritis has evolved from prompt nephrectomy to medical therapy...
May 2015: Malaysian Journal of Medical Sciences: MJMS
Jaisukh Kalathia, Saurabh Sudhir Chipde, Santosh Agrawal, Rajeev Agrawal
Emphysematous pyelonephritis is fatal necrotizing infection where life saving emergency nephrectomy is recommended for severe cases, but we performed nephron sparing surgery. Elderly diabetic female presented with left flank pain and fever for 15 days. On examination tender lump was palpable in left lumbar region. Investigations showed hyperglycemia, leucocytosis and creatinine 3.0 mg/dl. NCCT-KUB suggested class 3B-EPN. Following emergency pigtail, a repeat CT-scan suggested upper and lower pole destruction...
October 2015: Urology Annals
Mada Alsharif, Abdullah Mohammedkhalil, Basim Alsaywid, Ali Alhazmy, Salahadin Lamy
INTRODUCTION: Emphysematous pyelonephritis (EPN) is associated with high mortality rate, up to 25%. There is still conflicting reports regarding the most appropriate management, conservative versus nephrectomy. OBJECTIVE: To describe the outcome of patients with EPN. METHODS: We retrospectively reviewed the medical records of patients diagnosed with EPN by computed tomography from three tertiary institutes in Jeddah, Saudi Arabia. Type of management was classified as conservative and surgical...
October 2015: Urology Annals
Rudresh Hiremath, Mahesh, Krishna Prasanthi Padala, Kumar Swamy, Aruna Pailoor
Emphysematous pyelitis is a rare benign entity which is defined as isolated gas production in the pelvicalyceal system, ureters or in the urinary bladder as a consequence of acute bacterial renal infection. In this case report we present a case with no prior medical history of diabetes or urinary obstruction who presented with uncontrolled hyperglycaemia for the first time associated with emphysematous pyelonephritis. Further, the imaging differences between emphysematous pyelonephritis (EPN) and emphysematous pyelitis (EP) has been discussed along with the approach and their management...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
Sholay Meitei Kangjam, Keshorjit Singh Irom, Ibomcha Singh Khumallambam, Rajendra Singh Sinam
INTRODUCTION: Emphysematous pyelophritis (EPN) is a serious condition with significant mortality. The prognosis of patients with EPN has changed over the years. Mortality has declined with prompt and aggressive medical management and minimally invasive strategies. AIM: To identify the prognostic factors and assess the outcome of conservative management of emphysematous pyelonephritis. SETTINGS AND DESIGN: This was a retrospective study of 8 consecutive patients who were diagnosed with EPN in two medical institutes between July 2010 and June 2015...
November 2015: Journal of Clinical and Diagnostic Research: JCDR
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