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Successful medical treatment of acute bilateral emphysematous pyelonephritis

Lookup NU author(s): Professor Neil SheerinORCiD


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Emphysematous pyelonephritis most often presents as an acute medical emergency, typically in a septic diabetic patient with acute renal failure. The management of this condition has traditionally been surgical, with nephrectomy. However, some recent reports have described successful medical interventions. We describe a case of acute bilateral emphysematous pyelonephritis in a frail patient not suitable for bilateral nephrectomy and long-term dialysis. This condition was managed medically, not surgically, with intensive antibiotic and circulatory support. The outcome was complete recovery after months of hospital-based treatment. We discuss the management of this rare but important condition in detail.

Publication metadata

Author(s): Sheerin N; Tahir H; Thomas G; Bettington H; Pattison JM; Goldsmith DJ

Publication type: Article

Publication status: Published

Journal: American Journal of Kidney Diseases

Year: 2000

Volume: 36

Issue: 6

Pages: 1267-1270

ISSN (print): 0272-6386

ISSN (electronic): 1523-6838

Publisher: W.B. Saunders Co. Ltd.


PubMed id: 11096052

Notes: Case Reports Journal Article United states the official journal of the National Kidney Foundation