Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient

  • Yayi He Department of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi Province, China.
  • Bingyin Shi | shibingy@126.com Department of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi Province, China.
  • Xiaoyan Wu Department of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi Province, China.
  • Peng Hou Department of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi Province, China.
  • Yi Wang Department of Endocrinology, First Affiliated Hospital, Xi’an Jiaotong University School of Medicine, Shaanxi Province, China.

Abstract

We present a case of 75-year-old man with type 2 diabetes and emphysematous pyelonephritis (EPN). The patient presented with abdominal pain, fever of undetermined origin and progressive decrease in urine output. Computerized tomography scan revealed gas formation in the left renal parenchyma and capsule. A left nephrectomy was performed. He made a quick recovery. EPN should be taken into consideration in diabetic patients with symptoms of pyelonephritis who show a poor response to conventional treatment. Elective nephrectomy may be life saving in some patients.

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Published
2012-01-18
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Section
Case Reports
Keywords:
emphysematous pyelonephritis, diabetes, nephrectomy.
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How to Cite
He, Y., Shi, B., Wu, X., Hou, P., & Wang, Y. (2012). Emphysematous pyelonephritis treated with elective nephrectomy in a 75-year-old diabetic patient. Clinics and Practice, 2(1), e14. https://doi.org/10.4081/cp.2012.e14