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Incidentally detected emphysematous pyelonephritis.

Swami YK, Singh DV, Gupta SK, Pradhan A, Rana YP, Harkar S, Wani MS - Cent European J Urol (2012)

Bottom Line: Emphysematous pyelonephritis (EP) is a rare, severe gas forming infection of renal parenchyma and its surrounding areas and potentially life threatening condition that requires prompt evaluation and treatment.Although it commonly present with a fulminant clinical picture of sepsis, relatively mild symptoms can also be encountered.We report a case of EP that was incidentally detected during evaluation for diabetes.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Army Hospital Research and Referral, New Delhi, India.

ABSTRACT
Emphysematous pyelonephritis (EP) is a rare, severe gas forming infection of renal parenchyma and its surrounding areas and potentially life threatening condition that requires prompt evaluation and treatment. Although it commonly present with a fulminant clinical picture of sepsis, relatively mild symptoms can also be encountered. To our knowledge, incidentally detected emphysematous pyelonephritis has not been reported so far. We report a case of EP that was incidentally detected during evaluation for diabetes.

No MeSH data available.


Related in: MedlinePlus

Longitudinal scan of the right kidney showing echogenic foci of air (arrow) inside the renal parenchyma. Note the ‘dirty’ shadow (black arrow).
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Figure 0001: Longitudinal scan of the right kidney showing echogenic foci of air (arrow) inside the renal parenchyma. Note the ‘dirty’ shadow (black arrow).

Mentions: Ultrasound revealed multiple hyper echoic areas with dirty distal acoustic shadowing (gas) in all calyces and within the renal parenchyma of the mildly enlarged right kidney (RK; size of RK– 12.6 x 6.9 cm), no intrarenal or perinephric collection was seen and the pelvicalyceal system was compact (Fig. 1). The left kidney (LK; size – 9.2 cm) showed a 6 mm calculus in the midpole calyx.


Incidentally detected emphysematous pyelonephritis.

Swami YK, Singh DV, Gupta SK, Pradhan A, Rana YP, Harkar S, Wani MS - Cent European J Urol (2012)

Longitudinal scan of the right kidney showing echogenic foci of air (arrow) inside the renal parenchyma. Note the ‘dirty’ shadow (black arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3921766&req=5

Figure 0001: Longitudinal scan of the right kidney showing echogenic foci of air (arrow) inside the renal parenchyma. Note the ‘dirty’ shadow (black arrow).
Mentions: Ultrasound revealed multiple hyper echoic areas with dirty distal acoustic shadowing (gas) in all calyces and within the renal parenchyma of the mildly enlarged right kidney (RK; size of RK– 12.6 x 6.9 cm), no intrarenal or perinephric collection was seen and the pelvicalyceal system was compact (Fig. 1). The left kidney (LK; size – 9.2 cm) showed a 6 mm calculus in the midpole calyx.

Bottom Line: Emphysematous pyelonephritis (EP) is a rare, severe gas forming infection of renal parenchyma and its surrounding areas and potentially life threatening condition that requires prompt evaluation and treatment.Although it commonly present with a fulminant clinical picture of sepsis, relatively mild symptoms can also be encountered.We report a case of EP that was incidentally detected during evaluation for diabetes.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Army Hospital Research and Referral, New Delhi, India.

ABSTRACT
Emphysematous pyelonephritis (EP) is a rare, severe gas forming infection of renal parenchyma and its surrounding areas and potentially life threatening condition that requires prompt evaluation and treatment. Although it commonly present with a fulminant clinical picture of sepsis, relatively mild symptoms can also be encountered. To our knowledge, incidentally detected emphysematous pyelonephritis has not been reported so far. We report a case of EP that was incidentally detected during evaluation for diabetes.

No MeSH data available.


Related in: MedlinePlus