Emphysematous pyelonephritis

Authors

  • Yakniel Romero Tamayo Hospital Provincial Clinico Quirúrgico Docente Celia Sánchez Manduley https://orcid.org/0000-0003-0307-2299
  • Silvia Hechevarría Ramón Hospital Provincial Clinico Quirúrgico Docente Celia Sánchez Manduley
  • Yannia Quintana Tamayo Hospital Provincial Clinico Quirúrgico Docente Celia Sánchez Manduley

Keywords:

pielonefritis enfisematosa, litiasis, diabetes mellitus.

Abstract

Emphysematous pyelonephritis is a rare disease, consisting of severe necrotizing infection of the renal parenchyma associated with gas formation in the collecting system, renal parenchyma and / or peri renal tissues. We report a 54-year-old patient with history of uncontrolled type 2 diabetes mellitus and urinary stones, she was treated in the emergency service at Celia Sánchez Manduley Hospital, Granma, Cuba. She had nausea and vomiting, pain on both sides of her lower back, and fever. Ultrasound showed hyper-echogenic kidneys and echo-refractive images in projection of the renal cavities. The urine culture proved the presence of Escherichia coli, and medications was administered intravenously. Due to the unfavorable evolution, a tomography was performed and it showed a gas pattern in the renal cavities. Parenteral antibiotic therapy was readjusted and the outcome was favorable. After 10 months of asymptomatic follow-up, she was discharged from the clinic with diagnosis of emphysematous pyelonephritis.

 

Keywords: emphysematous pyelonephritis; lithiasis; Mellitus diabetes.

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Author Biographies

Yakniel Romero Tamayo, Hospital Provincial Clinico Quirúrgico Docente Celia Sánchez Manduley

Médico Residente de Urología. Especialista de Primer Grado en MGI. Profesor Asistente.

Silvia Hechevarría Ramón, Hospital Provincial Clinico Quirúrgico Docente Celia Sánchez Manduley

Especialista de Segundo Grado en Urología. Profesor Asistente.

Yannia Quintana Tamayo, Hospital Provincial Clinico Quirúrgico Docente Celia Sánchez Manduley

Médico Residente de Imagenología. Especialista de Primer Grado en MGI. Profesor Asistente.

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Published

2021-09-16

How to Cite

1.
Romero Tamayo Y, Hechevarría Ramón S, Quintana Tamayo Y. Emphysematous pyelonephritis. Rev Cubana Med [Internet]. 2021 Sep. 16 [cited 2025 Feb. 6];60(3). Available from: https://revmedicina.sld.cu/index.php/med/article/view/2475

Issue

Vol. 60 No. 3 (2021): Suplemento

Section

Case Reports

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