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| http://dx.doi.org/10.1016/j.eucr.2018.01.028 | DOI Listing |
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Unraveling the uncommon: Pneumoperitoneum induced by emphysematous pyelonephritis.
Radiol Case Rep
March 2025
Emergency Radiology Department, Ibn Sina University Hospital, Faculty of Medicine and Pharmacy of Rabat, Mohamed V University, Rabat, Morocco.
Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma by gas-forming organisms, with a risk of the gas extending into peri-nephric or para-renal spaces and in advanced cases, the involvement may be extensive and bilateral. It is a common complication in patients with long-term diabetes, primarily caused by Gram-negative organisms or, in some cases, anaerobes. The diagnosis of emphysematous pyelonephritis is made by clinical features and confirmed by computed tomography.
View Article and Find Full Text PDFClinical Outcomes of Acute Pyelonephritis in Type 2 Diabetes Mellitus.
Cureus
November 2024
Nephrology, Stanley Medical College, Chennai, IND.
Background Diabetes mellitus (DM) is a prevalent predisposing factor for urinary tract infections (UTIs). Among hospitalized patients with acute pyelonephritis, UTIs are more common, severe, and associated with worse outcomes, particularly in those with type 2 DM. Pyelonephritis in DM patients is more frequently bilateral and linked to greater complications, with 90% of emphysematous pyelonephritis (EMPN) and cystitis cases occurring in diabetic individuals.
View Article and Find Full Text PDFBilateral Diaphragmatic Paresis Due to an Iatrogenic Injury of the Phrenic Nerve: A Case Report.
Cureus
October 2024
Physical Medicine and Rehabilitation, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Article Synopsis
- Bilateral diaphragmatic paresis, a rare condition linked to severe respiratory issues, was documented in a 69-year-old patient experiencing serious breathing problems after surgery for cholecystitis.
- Physical examination revealed paradoxical breathing and low oxygen levels, prompting further testing that showed diaphragm issues likely caused by phrenic nerve injury.
- Despite a multidisciplinary approach and ongoing rehabilitation, the patient’s recovery has been slow, and he still relies on non-invasive ventilation for respiratory support.
Complicated case of bilateral emphysematous pyelonephritis and emphysematous cystitis successfully treated with transurethral drainage and ureteral stents.
Urol Case Rep
November 2024
Department of Urology Kurume University School of Medicine, Kurume, Japan 67, Asahi-machi, Kurume-shi, Fukuoka, 830-0011, Japan.
Emphysematous pyelonephritis and emphysematous cystitis are intractable diseases. Eight cases of bilateral emphysematous pyelonephritis and emphysematous cystitis have been reported, but no treatment has been established. An 88-year-old female was admitted with traumatic subarachnoid hemorrhage, and on the fourth day of hospitalization, she developed fever and septic shock.
View Article and Find Full Text PDFVanishing lung syndrome a rare cause of dwindling of lungs in children with pulmonary tuberculosis.
Indian J Tuberc
October 2024
Department of Respiratory Medicine, National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India. Electronic address:
Article Synopsis
- - Vanishing lung syndrome (VLS) is a rare condition marked by large emphysematous bullae that lead to lung compression, causing breathing difficulties and reduced physical capacity, with potential for sudden symptom worsening from pneumothorax.
- - The text discusses three pediatric cases of VLS linked to tuberculosis (TB), highlighting that cases of VLS from TB are scarce in literature and that these cases exhibited faster disease progression and extensive bilateral bullae.
- - Notably, one patient did not receive isoniazid, a drug often associated with VLS, raising questions about the factors contributing to this condition and hinting at potential sex differences, as all three patients were female.
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