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Successful conservative management of emphysematous pyelonephritis, bilateral or in a solitary kidney.
- Source :
-
Scandinavian journal of urology and nephrology [Scand J Urol Nephrol] 1997 Apr; Vol. 31 (2), pp. 193-7. - Publication Year :
- 1997
-
Abstract
- Emphysematous pyelonephritis, bilateral or in a solitary kidney, is a life-threatening condition that requires prompt diagnosis and early intervention. Reported mortality is high, despite desperate surgical measures often ending in loss of renal unit, but medical management, possibly combined with percutaneous drainage, is sometimes successful. We report two cases of emphysematous pyelonephritis, one bilateral and one in a solitary kidney, with successful conservative management. Predisposing factors were insulin-dependent diabetes mellitus and micronodular cirrhosis secondary to chronic alcoholism. Prompt sonographic diagnosis determined the success of conservative management. Escherichia coli was identified as causal factor. In the bilateral case the clinical picture improved within 48 h after control of diabetes and broad-spectrum antibiotic treatment. For the affected solitary kidney, percutaneous drainage and ureteric catheterization were required.
- Subjects :
- Anti-Bacterial Agents
Combined Modality Therapy
Diabetes Mellitus, Type 1 complications
Diabetes Mellitus, Type 1 diagnosis
Diabetes Mellitus, Type 1 therapy
Diabetic Nephropathies diagnosis
Diabetic Nephropathies etiology
Diabetic Nephropathies therapy
Diagnosis, Differential
Drug Therapy, Combination therapeutic use
Emphysema diagnosis
Emphysema etiology
Female
Humans
Liver Cirrhosis, Alcoholic complications
Liver Cirrhosis, Alcoholic diagnosis
Liver Cirrhosis, Alcoholic therapy
Middle Aged
Nephrostomy, Percutaneous
Prognosis
Pyelonephritis diagnosis
Pyelonephritis etiology
Emphysema therapy
Pyelonephritis therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0036-5599
- Volume :
- 31
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Scandinavian journal of urology and nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 9165586
- Full Text :
- https://doi.org/10.3109/00365599709070329