Document Type
Article
Publication Date
3-7-2023
Abstract
Emphysematous pyelonephritis (EPN) is a severe, acute necrotizing infection of the kidney with gas accumulation in the renal parenchyma, collecting ducts, and/or perirenal tissue. We report a case of EPN in a 66 year-old male with uncontrolled diabetes mellitus (DM), urinary tract infection and septic shock necessitating emergent bilateral radical nephrectomy. Morphologically, the kidney parenchyma revealed severe acute bacterial pyelonephritis with extensive abscesses, gas cysts, necrosis and foci of infarctions. The uninvolved background cortex parenchyma exhibited diabetic nephropathy (DN), Class IIB. Post-operatively, the patient remained dialysis-dependent with multiple re-admissions for recurrent multi-drug resistant
Recommended Citation
Wamsley, Christine E; Morton, Arianna; Roth, Christopher G; Izes, Joseph K; and Li, Li, "Emphysematous pyelonephritis necessitating bilateral radical nephrectomy: A case report and literature review." (2023). Computational Medicine Center Faculty Papers. Paper 46.
https://jdc.jefferson.edu/tjucompmedctrfp/46
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
PubMed ID
36960082
Language
English
Comments
This article is the author's final published version in Urology Case Reports, Volume 47, March 2023 , Article number 102376.
The published version is available at https://doi.org/10.1016/j.eucr.2023.102376.
Copyright © 2023 The Authors. Published by Elsevier Inc.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).