Skip to main content
Top
Published in: BMC Nephrology 1/2002

Open Access 01-12-2002 | Case report

Acute bilateral emphysematous pyelonephritis successfully managed by medical therapy alone: A case report and review of the literature

Authors: Guillermo Flores, Haiko Nellen, Francisco Magaña, Juan Calleja

Published in: BMC Nephrology | Issue 1/2002

Login to get access

Abstract

Background

Bilateral emphysematous pyelonephritis is a life threatening condition usually occurring in diabetics. Management of this condition has traditionally been aggressive and surgery is considered mandatory. However, this is itself a hazardous intervention in a septic, unstable patient with circulatory or liver failure. When bilateral disease is present, the need for long-term dialysis is obviously unavoidable.

Case presentation

We herein report one of the few cases of bilateral emphysematous pyelonephritis successfully managed by non-surgical treatment.
Appendix
Available only for authorised users
Literature
2.
go back to reference Zabbo A, Montie JL, Popowniak KL, et al: Bilateral emphysematous pyelonephritis. Urology. 1985, 25: 293-6.CrossRefPubMed Zabbo A, Montie JL, Popowniak KL, et al: Bilateral emphysematous pyelonephritis. Urology. 1985, 25: 293-6.CrossRefPubMed
3.
go back to reference Ahlering TE, Boyd SD, Hamilton CL, et al: Emphysematous pyelonephritis: a 5-year experience with 13 patients. J Urol. 1985, 134: 1086-8.PubMed Ahlering TE, Boyd SD, Hamilton CL, et al: Emphysematous pyelonephritis: a 5-year experience with 13 patients. J Urol. 1985, 134: 1086-8.PubMed
4.
go back to reference Ballanger P, Petit J, Thomas G, Tauzin-Fin P: La pyelonephrite emphysemateuse. Revue de la litterature a propos de quatre nouveaux cas. Ann Urol (Paris). 1986, 20: 195-200. Ballanger P, Petit J, Thomas G, Tauzin-Fin P: La pyelonephrite emphysemateuse. Revue de la litterature a propos de quatre nouveaux cas. Ann Urol (Paris). 1986, 20: 195-200.
5.
go back to reference Dunn SR, Dewolf WC, Gonzalez R: Emphysematous pyelonephritis: report of 3 cases treated by nephrectomy. J Urol. 1975, 114: 348-50.PubMed Dunn SR, Dewolf WC, Gonzalez R: Emphysematous pyelonephritis: report of 3 cases treated by nephrectomy. J Urol. 1975, 114: 348-50.PubMed
6.
go back to reference Picron B, Mauerhoff T, Farchakh E, et al: Pyelonephrite emphysemateuse (P.N.E.) chez une patiente diabetique. Revue de la litterature a propos d'un cas. Acta Clin Belg. 1991, 46: 94-9.CrossRefPubMed Picron B, Mauerhoff T, Farchakh E, et al: Pyelonephrite emphysemateuse (P.N.E.) chez une patiente diabetique. Revue de la litterature a propos d'un cas. Acta Clin Belg. 1991, 46: 94-9.CrossRefPubMed
7.
go back to reference Campbell's Urology Walsh, Patrick C 7th ed Cloth Text. 1997 Campbell's Urology Walsh, Patrick C 7th ed Cloth Text. 1997
8.
go back to reference Ouellet LM, Brook MP: Emphysematous pyelonephritis: an emergency indication for the plain abdominal radiograph. Ann Emerg Med. 1988, 17: 722-4.CrossRefPubMed Ouellet LM, Brook MP: Emphysematous pyelonephritis: an emergency indication for the plain abdominal radiograph. Ann Emerg Med. 1988, 17: 722-4.CrossRefPubMed
9.
go back to reference Evanoff GV, Thompson CS, Foley R, et al: Spectrum of gas within the kidney. Emphysematous pyelonephritis and emphysematous pyelitis. Am J Med. 1987, 83: 149-54.CrossRefPubMed Evanoff GV, Thompson CS, Foley R, et al: Spectrum of gas within the kidney. Emphysematous pyelonephritis and emphysematous pyelitis. Am J Med. 1987, 83: 149-54.CrossRefPubMed
10.
go back to reference Michaeli J, Mogle P, Perlberg S, et al: Emphysematous pyelonephritis. J Urol. 1984, 131: 203-8.PubMed Michaeli J, Mogle P, Perlberg S, et al: Emphysematous pyelonephritis. J Urol. 1984, 131: 203-8.PubMed
11.
go back to reference Chen KW, Huang JJ, Wu MH, et al: Gas in hepatic veins: a rare and critical presentation of emphysematous pyelonephritis. J Urol. 1994, 151: 125-6.PubMed Chen KW, Huang JJ, Wu MH, et al: Gas in hepatic veins: a rare and critical presentation of emphysematous pyelonephritis. J Urol. 1994, 151: 125-6.PubMed
12.
go back to reference Cook DJ, Achong MR, Dobranowski J: Emphysematous pyelonephritis. Complicated urinary tract infection in diabetes. Diabetes Care. 1989, 12: 229-32.CrossRefPubMed Cook DJ, Achong MR, Dobranowski J: Emphysematous pyelonephritis. Complicated urinary tract infection in diabetes. Diabetes Care. 1989, 12: 229-32.CrossRefPubMed
13.
go back to reference Andersen JB: Pyelonephritis emphysematosa. En alvorlig komplikation til diabetes mellitus. Ugeskr Laeger. 1992, 154: 1419-21.PubMed Andersen JB: Pyelonephritis emphysematosa. En alvorlig komplikation til diabetes mellitus. Ugeskr Laeger. 1992, 154: 1419-21.PubMed
14.
go back to reference Joris L, van Daele G, Timmermans U, et al: Emphysematous pyelonephritis. Intensive Care Med. 1989, 15: 206-8.CrossRefPubMed Joris L, van Daele G, Timmermans U, et al: Emphysematous pyelonephritis. Intensive Care Med. 1989, 15: 206-8.CrossRefPubMed
15.
go back to reference Huang JJ, Tseng CC: Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med. 2000, 160: 797-805. 10.1001/archinte.160.6.797.CrossRefPubMed Huang JJ, Tseng CC: Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med. 2000, 160: 797-805. 10.1001/archinte.160.6.797.CrossRefPubMed
16.
go back to reference Hui L, Tokeshi J: Emphysematous pyelonephritis. Hawaii Med J. 2000, 59: 336-7.PubMed Hui L, Tokeshi J: Emphysematous pyelonephritis. Hawaii Med J. 2000, 59: 336-7.PubMed
17.
go back to reference Chen MT, Huang CN, Chou YH, et al: Percutaneous drainage in the treatment of emphysematous pyelonephritis: 10-year experience. J Urol. 1997, 157: 1569-73. 10.1097/00005392-199705000-00008.CrossRefPubMed Chen MT, Huang CN, Chou YH, et al: Percutaneous drainage in the treatment of emphysematous pyelonephritis: 10-year experience. J Urol. 1997, 157: 1569-73. 10.1097/00005392-199705000-00008.CrossRefPubMed
18.
go back to reference Shokeir AA, El-Azab M, Mohsen T, et al: Emphysematous pyelonephritis: a 15-year experience with 20 cases. Urology. 1997, 49: 343-6. 10.1016/S0090-4295(96)00501-8.CrossRefPubMed Shokeir AA, El-Azab M, Mohsen T, et al: Emphysematous pyelonephritis: a 15-year experience with 20 cases. Urology. 1997, 49: 343-6. 10.1016/S0090-4295(96)00501-8.CrossRefPubMed
19.
go back to reference Tahir H, Thomas G, Sheerin N, et al: Successful medical treatment of acute bilateral emphysematous pyelonephritis. Am J Kidney Dis. 2000, 36: 1267-70.CrossRefPubMed Tahir H, Thomas G, Sheerin N, et al: Successful medical treatment of acute bilateral emphysematous pyelonephritis. Am J Kidney Dis. 2000, 36: 1267-70.CrossRefPubMed
20.
go back to reference Kondo T, Okuda H, Suzuki M, et al: [A case of emphysematous pyelonephritis improved with conservative therapy–indication for conservative therapy]. Hinyokika Kiyo. 2000, 46: 335-8.PubMed Kondo T, Okuda H, Suzuki M, et al: [A case of emphysematous pyelonephritis improved with conservative therapy–indication for conservative therapy]. Hinyokika Kiyo. 2000, 46: 335-8.PubMed
21.
go back to reference Labussiere AS, Gazaigne J, Walker P, Laplace M: Pyelonephrite emphysemateuse. Un cas traite medicalement. J Urol (Paris). 1996, 102: 127-9. Labussiere AS, Gazaigne J, Walker P, Laplace M: Pyelonephrite emphysemateuse. Un cas traite medicalement. J Urol (Paris). 1996, 102: 127-9.
22.
go back to reference Punnose J, Yahya TM, Premchandran JS, et al: Emphysematous pyelonephritis responding to medical therapy. Int J Clin Pract. 1997, 51: 468-70.PubMed Punnose J, Yahya TM, Premchandran JS, et al: Emphysematous pyelonephritis responding to medical therapy. Int J Clin Pract. 1997, 51: 468-70.PubMed
23.
go back to reference Jain SK, Agarwal N, Chaturvedi SK: Emphysematous pyelonephritis: a rare presentation. J Postgrad Med. 2000, 46: 31-2.PubMed Jain SK, Agarwal N, Chaturvedi SK: Emphysematous pyelonephritis: a rare presentation. J Postgrad Med. 2000, 46: 31-2.PubMed
24.
go back to reference Best CD, Terris MK, Tacker JR, et al: Clinical and radiological findings in patients with gas forming renal abscess treated conservatively. J Urol. 1999, 162: 1273-6. 10.1097/00005392-199910000-00007.CrossRefPubMed Best CD, Terris MK, Tacker JR, et al: Clinical and radiological findings in patients with gas forming renal abscess treated conservatively. J Urol. 1999, 162: 1273-6. 10.1097/00005392-199910000-00007.CrossRefPubMed
25.
go back to reference Angulo JC, Dehaini A, Escribano J, et al: Successful conservative management of emphysematous pyelonephritis, bilateral or in a solitary kidney. Scand J Urol Nephrol. 1997, 31: 193-7.CrossRefPubMed Angulo JC, Dehaini A, Escribano J, et al: Successful conservative management of emphysematous pyelonephritis, bilateral or in a solitary kidney. Scand J Urol Nephrol. 1997, 31: 193-7.CrossRefPubMed
26.
go back to reference Grozel F, Berthezene Y, Guerin C, et al: Bilateral emphysematous pyelonephritis resolving to medical therapy: demonstration by US and CT. Eur Radiol. 1997, 7: 844-6. 10.1007/s003300050216.CrossRefPubMed Grozel F, Berthezene Y, Guerin C, et al: Bilateral emphysematous pyelonephritis resolving to medical therapy: demonstration by US and CT. Eur Radiol. 1997, 7: 844-6. 10.1007/s003300050216.CrossRefPubMed
27.
go back to reference Shimizu H, Hariu K, Kamiyama Y, et al: Bilateral emphysematous pyelonephritis with autosomal-dominant polycystic kidney disease successfully treated by conservative method. Urol Int. 1999, 63: 252-4. 10.1159/000030462.CrossRefPubMed Shimizu H, Hariu K, Kamiyama Y, et al: Bilateral emphysematous pyelonephritis with autosomal-dominant polycystic kidney disease successfully treated by conservative method. Urol Int. 1999, 63: 252-4. 10.1159/000030462.CrossRefPubMed
Metadata
Title
Acute bilateral emphysematous pyelonephritis successfully managed by medical therapy alone: A case report and review of the literature
Authors
Guillermo Flores
Haiko Nellen
Francisco Magaña
Juan Calleja
Publication date
01-12-2002
Publisher
BioMed Central
Published in
BMC Nephrology / Issue 1/2002
Electronic ISSN: 1471-2369
DOI
https://doi.org/10.1186/1471-2369-3-4

Other articles of this Issue 1/2002

BMC Nephrology 1/2002 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine