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Successful Non-Surgical Management of Bilateral Emphysematous Pyelonephritis Despite Adverse Prognostic Factors; Report of a Case and Review of the Literature Publisher



Yahyazadeh SR1 ; Soleymanian T2
Authors
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Authors Affiliations
  1. 1. Nephrology and Urology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Nephrology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Nephropathology Published:2020


Abstract

Emphysematous pyelonephritis (EPN) is a rare and ominous necrotizing kidney infection mainly involving diabetic patients. While prompt medical therapy with antibiotic and percutaneous catheter drainage is mainstay of management, nephrectomy should remain for unresponsiveness situations with poor prognostic factors. We introduced the clinical course of an old male presented with bilateral EPN which was successfully treated without nephrectomy regardless of various risk factors such as thrombocytopenia, impaired consciousness, and acute renal failure. © 2020 The Author(s); Published by Society.