1. La pyélonéphrite emphysémateuse
- Author
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Karima Khiari, L. Cherif, Fethi Ben Hmida, Mohsen Ayed, Sarrah Ben Jilani, Hayet Kaaroud, Youssef Lakhoua, Mohamed Sfaxi, Nédia Kourda, Hedi Ben Maiz, Incaf Hadj Ali, Nejib Ben Abdallah, Slaheddine Friaa, Fethi El Younsi, and Fatma Ben Moussa
- Subjects
Nephrology ,medicine.medical_specialty ,Medical treatment ,Septic shock ,business.industry ,Renal parenchyma ,medicine.medical_treatment ,Urology ,medicine.disease ,Nephrectomy ,Renal infection ,Emphysematous pyelonephritis ,Internal medicine ,medicine ,business ,Kidney disease - Abstract
The emphysematous pyelonephritis is a rare and severe renal infection characterized by the presence of gas in renal parenchyma and its perirenal spaces. We report two cases of emphysematous pyelonephritis in two diabetic women (53 and 50 years old respectively). In the first case, the treatment was based on nephrectomy because of the presence of a septic shock and three risk factors, which are acute renal failure, hematuria and thrombopenia. In the second case, the treatment was only medical. The evolution was favorable in the two cases. We insist in this article that this diagnosis should be considered in every female diabetic patient having severe acute pyelonephritis resistant to a well-conducted medical treatment.
- Published
- 2005
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