Bilateral Emphysematous Pyelonephritis: An Uncommon Diagnosis

Authors

  • Rita Soares Costa Serviço de Medicina Interna, Centro Hospitalar de Entre Douro e Vouga, Hospital São Sebastião, Santa Maria da Feira, Portugal
  • Rita Pinto Araújo Serviço de Medicina Interna, Centro Hospitalar de Entre Douro e Vouga, Hospital São Sebastião, Santa Maria da Feira, Portugal
  • Maria Pacheco Serviço de Medicina Interna, Unidade Local de Saúde da Guarda, Guarda, Portuga
  • João Campos Cunha Serviço de Medicina Interna, Centro Hospitalar de Entre Douro e Vouga, Hospital São Sebastião, Santa Maria da Feira, Portugal
  • Valter Rocha Serviço de Medicina Intensiva, Centro Hospitalar Universitário de São João, Porto, Portugal
  • Filipa Brochado Serviço de Medicina Intensiva, Centro Hospitalar de Entre Douro e Vouga, Hospital São Sebastião, Santa Maria da Feira, Portugal
  • Ricardo Pinho Serviço de Medicina Intensiva, Centro Hospitalar de Entre Douro e Vouga, Hospital São Sebastião, Santa Maria da Feira, Portugal

DOI:

https://doi.org/10.60591/crspmi.52

Keywords:

Acute Kidney Injury, Nephrectomy, Pyelonephritis

Abstract

Emphysematous pyelonephritis is a rare entity with a high mortality rate, consisting of an acute necrotising renal infection caused by gas-forming pathogens.

 

The authors report the case of an adult female with bilateral emphysematous pyelonephritis. She deteriorated quickly under conservative treatment, requiring multiple organ support, including continuous renal replacement therapy, and urgent bilateral nephrectomy.

 

This case highlights the importance of pursuing uncommon but potentially deadly diagnoses. In addition to early monitoring and aggressive treatment, a multidisciplinary approach is crucial to achieving the best outcome possible.

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References

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Published

2023-06-05

How to Cite

Soares Costa, R., Pinto Araújo, R., Pacheco, M., Campos Cunha, J., Rocha, V., Brochado, F., & Pinho, R. (2023). Bilateral Emphysematous Pyelonephritis: An Uncommon Diagnosis. SPMI Case Reports, 1(2), 92–93. https://doi.org/10.60591/crspmi.52

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