Emphysematous pyelonephritis: non surgical treatment approach

Authors

  • Kiran Kumar Singal MM Institute of Medical Sciences & Research, Mullana (Ambala)
  • Neerja Singal MM Institute of Medical Sciences & Research, Mullana (Ambala)
  • Bhaskar Gupta MM Institute of Medical Sciences & Research, Mullana (Ambala)
  • Karun Puran Bhatti MM Institute of Medical Sciences & Research, Mullana (Ambala)
  • Abhinav Gupta MM Institute of Medical Sciences & Research, Mullana (Ambala)

DOI:

https://doi.org/10.3329/bjms.v14i3.17753

Keywords:

emphysematous pyelonephritis, Enterococcus faecalis, antibiotics, USG

Abstract

Emphysematous pyelonephritis is a severe infection characterized by the presence of gas within the renal parenchyma tissues. It is a life threatening complication of bacterial interstitial nephritis, and it mainly occurs in patients with diabetes mellitus. We report a case of a 37 year old female who complained of fever and pain in left lumbar region on admission. Her past medical history included uncontrolled type 2 diabetes mellitus. On USG (ultrasonography), left kidney swollen and show echogenic linear specs with dirty shadowing suggestive of air in pelvicalyceal system (PCS). She was treated with intensive antibiotic therapy in high doses. On repeat USG there was marked reduction in air shadow in kidney and patient improved clinically.

Bangladesh Journal of Medical Science Vol.14(3) 2015 p.305-307

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Author Biographies

Kiran Kumar Singal, MM Institute of Medical Sciences & Research, Mullana (Ambala)

Associate Professor, Department of Medicine

Neerja Singal, MM Institute of Medical Sciences & Research, Mullana (Ambala)

Associate Professor, Department of Obstetrics and Gynaecology

Bhaskar Gupta, MM Institute of Medical Sciences & Research, Mullana (Ambala)

Assistant Professor, Department of Medicine

Karun Puran Bhatti, MM Institute of Medical Sciences & Research, Mullana (Ambala)

Assistant Professor, Department of Medicine

Abhinav Gupta, MM Institute of Medical Sciences & Research, Mullana (Ambala)

Resident, Department of Medicine

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Published

2015-06-20

How to Cite

Singal, K. K., Singal, N., Gupta, B., Bhatti, K. P., & Gupta, A. (2015). Emphysematous pyelonephritis: non surgical treatment approach. Bangladesh Journal of Medical Science, 14(3), 305–307. https://doi.org/10.3329/bjms.v14i3.17753

Issue

Vol. 14 No. 3 (2015)

Section

Case Reports

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