AI Article Synopsis
- Emphysematous pyelonephritis (EPN) is a severe urinary tract infection that can lead to high mortality rates, particularly in cases with underlying conditions, but it's rarely reported.
- A 32-year-old pregnant woman with type 2 diabetes experienced worsening symptoms of pyelonephritis, leading to a diagnosis of EPN through imaging techniques.
- Successful treatment involved antibiotic therapy, emphasizing the importance of early diagnosis and customized treatment approaches to safeguard both maternal and fetal health during pregnancy.
Article Abstract
Emphysematous pyelonephritis (EPN) is a urinary tract infection progression characterized by gas retention in the renal tissues and a high mortality rate, but few cases have been reported. In this study, we present a 32-year-old primigravida with type 2 diabetes mellitus and a history of pyelonephritis who developed pyelonephritis at 29 weeks. Antimicrobial therapy was initiated; however, her clinical symptoms worsened. Ultrasonography and magnetic resonance imaging (MRI) led to a diagnosis of EPN. Fortunately, the patient improved with antibiotic therapy and delivered at 39 weeks. Treatment for EPN may require invasive procedures such as percutaneous drainage or nephrectomy. Early diagnosis and timely intervention are crucial for the management of EPN during pregnancy. This case report highlights the need for imaging evaluation and tailored treatment strategies to balance maternal and fetal health in the treatment of EPN during pregnancy.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11693407 | PMC |
| http://dx.doi.org/10.7759/cureus.74943 | DOI Listing |
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