Emphysematous pyelitis. A case presentation.

Authors

  • Julio César González Aguilera Hospital Regional Antonio Penados del Barrio. San Benito.
  • Katya Bilbao González Hospital Regional Antonio Penados del Barrio. San Benito.
  • Leonor María Barranco Pedraza Hospital Regional Antonio Penados del Barrio. San Benito.
  • Ernesto Raúl Cataño Gutiérrez Hospital Regional Antonio Penados del Barrio. San Benito.

Keywords:

PYELITIS/diagnosis, PYELITIS/drug therapy

Abstract

The emphysematous pyelitis is characterized by the presence of gas in the collector renal system. Taking into consideration that this is a weird disease, the main objective of this research is to describe the clinical characteristics of a female patient with this entity. This 52 year -old –patient presented personal antecedents of diabetes mellitus type II with 12 years of evolution who received NPH insuline and was previously hopitalized with pyelonephritis. She was hospitalized with five days long fever, moderated pain in the lumbar right area, irradiated in the suprapubic region, dissuria, several acuous vomiting and taking of the general stage. In the renal echography and computerized axial tomography it was evidenced the presence of gas in the colecting system of the right kidney. The escherichia coli was isolated in the urine culture. There was applied a medical treatment with Cefotaxime and Amikacine. The evolution was satisfactory from the clinic, image and microbiological point of view.

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References

1. Gade C, Borup K. Emphysematous pyelonephritis. Ugeskr Laeger. 2010 Jan 18; 172(3):220-2.

2. Chiang CC, Jong YS, Wang WJ. Emphysematous pyelitis. CMAJ. 2010 Apr 20; 182(7):698.

3. Kelly HA, MacCallum WG. Pneumaturia. JAMA. 1998; 31: 375-381.

4. Schuitz EH, KIorfein EH. Emphysematous pyelone¬phritis. J Urol. 1962; 87: 762-766.

5. Dhabalia JV, Nelivigi GG, Kumar V, Gokhale A, Punia MS, Pujari N. Emphysematous Pyelonephritis: Tertiary Care Center Experience in Management and Review of the Literature. Urol Int. 2010 Sep 2. [Epub ahead of print]

6. Ubee SS, McGlynn L, Fordham M. Emphysematous pyelonephritis. BJU Int. 2010 Sep 14. doi: 10.1111/j.1464-410X.2010.09660.

7. Pontin AR, Barnes RD. Current management of emphysematous pyelonephritis. Nat Rev Urol. 2009 May; 6(5):272-9.

8. Derouiche A, El Attat R, Hentati H, Blah M, Slama A, Chebil M. Emphysematous pyelitis: epidemiological, therapeutic and evolutive features. Tunis Med. 2009 Mar; 87(3):180-3.

9. Somani BK, Nabi G, Thorpe P, Hussey J, Cook J, N’Dow J. Is Percutaneous Drainage the new gold standard in the management Emphysematous pyelonephritis? Evidence from a systematic review. J Urol 2008 May;179 (5):1844-9.

10. Ganie MA, Masoodi SR, Laway BA, Misger RA, Wani AI, Bashir MI, Zargar AH. Emphysematous pyelonephritis in diabetes mellitus: a series of five cases. Diabetes Res Clin Pract. 2007 Oct; 78(1):143-4.

11. Chan AC, Rohan MJ, Hamid A, Azam A. Emphysematous pyelonephritis in a diabetic patient with pelvic-ureteric stone. Med J Malaysia. 2007 Jun; 62(2):166-7.

12. Itoh K, Tamai H, Arisawa T, Kumon S, Yamada Y. Emphysematous pyelonephritis complicated by liver cirrhosis and diabetes mellitus: a case report and a review of the literatura. Hinyokika Kiyo. 1987 Jul; 33(7):1110-6.

13. McNeill GB, Holley A, Lipman J. Emphysematous pyelonephritis: an unusual complication of blunt abdominal trauma. Crit Care Resusc. 2009 Dec; 11(4):269-71.

14. Krishnasamy P, Liby C. Emphysematous pyelonephritis caused by

Candida ropicales. Am J Med. 2010; 123(4):e7-e8.

15. Moreno R, Viveros C, Lugo JA, De la Cruz J, Díaz C. Pielonefritis enfisematosa. Rev Mex Urol. 2006; 62(6): 74-82.

16. Alvares VA, Fracaro AM, Boselli JR, De Frietas MA. Subcutaneous emphysema as a clinical finding in Emphysematous pyelonephritis. Braz J Infect Dis. 2009; 13(6): 454.

17. Balicco B, Manzoni B, Ancora C. A case of fatal emphysematous Pyelonephritis presenting as a lower limb gaseous gangrene. Minerva Anestesiol.2009; 75(11):665-8.

18. Kapoor R, Murungandham K, Singla M, Agrawal S, Mandhani A, Ansari MS. Predictive factors for mortality and need for nephrectomy in patients with Emphysematous pyelonephritis BJUI. 2010;105 (7):986.89.

19. Chen KC, Hung SW, Seow VK, Chong CF, Wang TL, Li YC, et al. The role of emergency ultrasound for evaluating acute pyelonephritis in the ED. Am J Med. 2010; 123(5): 16-23.

20. Tsitouridis I, Michaelides M, Sidiropoulos D, Arvanity M. Renal emphysema in diabetic patients: CT evaluation. Diagn Interv Radiol. 2010; 16(3):221-6.

21. Harrabi H, Marrakchi C, Daoud E, Elleuch E, Hammami B, Maâloul I, et al. Bilateral emphysematous pyelonephritis caused by Candida glabrata: An exceptional entity. Néphrologie & Thérapeutique. 2010; 6(6): 541-43.

Published

2010-10-11

How to Cite

1.
González Aguilera JC, Bilbao González K, Barranco Pedraza LM, Cataño Gutiérrez ER. Emphysematous pyelitis. A case presentation. RM [Internet]. 2010 Oct. 11 [cited 2025 Sep. 3];14(4). Available from: https://revmultimed.sld.cu/index.php/mtm/article/view/1653

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Section

CASOS CLÍNICOS