Emphysematous Pyelonephritis in a Diabetic Patient
Author Information
Author(s): Vollans Samuel R, Sehjal Ranjit, Forster James A, Rogawski Karol M
Primary Institution: Department of Urology, Huddersfield Royal Infirmary
Hypothesis
Can undiagnosed ureteric obstruction in a type II diabetic lead to emphysematous pyelonephritis requiring nephrectomy?
Conclusion
Early recognition and aggressive management of emphysematous pyelonephritis are crucial to reduce mortality.
Supporting Evidence
- EPN is associated with a high mortality rate of up to 40% when treated with antibiotics alone.
- 90% of EPN cases occur in patients with diabetes mellitus.
- Early nephrectomy is recommended in severe presentations of EPN.
Takeaway
A woman with diabetes had a serious kidney infection because doctors missed a stone blocking her ureter, and she needed surgery to fix it.
Methodology
Case report detailing the patient's symptoms, diagnosis, treatment, and recovery.
Limitations
The case report is based on a single patient, limiting generalizability.
Participant Demographics
59-year-old white Caucasian woman with type II diabetes.
Digital Object Identifier (DOI)
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