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Emphysematous Pyelonephritis Due to Candida Albicans in a Diabetic Patient: A Case Report Publisher



Mabadi A1 ; Davoudimonfared E2 ; Jafarieh A3 ; Nazemi P4
Authors
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Authors Affiliations
  1. 1. Yas Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Clinical Pharmacy, Yas Hospital Complex, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Anesthesiology and Critical Care, Yas Hospital Complex, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Infectious Diseases, Yas Hospital Complex, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Urology Case Reports Published:2025


Abstract

Emphysematous pyelonephritis is an infection of the kidney tissue that is necrotizing and gas-producing and primarily affects individuals with diabetes mellitus. We have reported a 67-year-old female with a history of diabetes mellitus and prior urological procedures who developed emphysematous pyelonephritis due to Candida albicans. She was treated with systemic fluconazole and underwent other urological interventions as necessary. But due to persistent fever, irrigation of amphotericin B via nephrostomy was applied for three days after which her fever resolved. She finally recovered and was discharged in a healthy state. This case presentation underscores the complexity of managing fungal pyelonephritis. © 2025