AI Article Synopsis
- Emphysematous pyelonephritis is a rare but serious kidney infection marked by gas formation in the kidney and surrounding tissues.
- The article presents two cases involving diabetic women, where one required surgery due to severe complications, while the other was treated successfully with medication.
- The authors emphasize the importance of considering this diagnosis in diabetic women with severe acute pyelonephritis that doesn't respond to standard treatment.
Article Abstract
The emphysematous pyelonephritis is a rare and severe renal infection characterized by the presence of gas in renal parenchyma and its perirenal spaces. We report two cases of emphysematous pyelonephritis in two diabetic women (53 and 50 years old respectively). In the first case, the treatment was based on nephrectomy because of the presence of a septic shock and three risk factors, which are acute renal failure, hematuria and thrombopenia. In the second case, the treatment was only medical. The evolution was favorable in the two cases. We insist in this article that this diagnosis should be considered in every female diabetic patient having severe acute pyelonephritis resistant to a well-conducted medical treatment.
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| http://dx.doi.org/10.1016/j.nephro.2004.08.001 | DOI Listing |
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