Emphysematous Pyelonephritis in a Diabetic Patient on Maintenance Hemodialysis: A Case Report

Authors

MAS Hamouda, H Skhiri, A Letaif, MA Frih, NB Diah, M Elmay

Citation

Arab J Nephrol Transplant. 2014;7(2):109–111.

Full text (excerpt)

Emphysematous Pyelonephritis in a Diabetic Patient on Maintenance Hemodialysis: a Case Report Hamouda M, Aloui S, Skhiri H, Letaif A, Frih MA, Ben Dhia N and Elmay M Department of Nephrology, Fattouma Bourguiba Hospital and University Faculty of Medicine, Monastir, Tunisia Abstract Introduction: Emphysematous pyelonephritis (EP) is an uncommon acute infection characterized by the presence of gas in the renal parenchyma. It is extremely rare in hemodialysis (HD) patients and diabetics account for most cases. It is a rapidly progressive and life threatening infection with a high mortality rate. We report a case of emphysematous pyelonephritis in a HD patient who was treated successfully with radical nephrectomy and antibiotic therapy. Case report: A 46-year-old diabetic male with end stage renal disease (ESRD) secondary to diabetic nephropathy and on maintenance HD for the last five years presented with a two weeks history of fever and loin pain. He was treated with oral ciprofloxacin for one week with no improvement. His blood culture isolated Escherichia coli. Computed tomography scan of the abdominal disclosed an enlarged left kidney with massive gaseous collections. Accordingly,

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The Arab Journal of Nephrology and Transplantation is the peer-reviewed open-access journal of ASNRT, published since 2008.

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