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CASE REPORT
Emphysematous pyelonephritis: outcomes of conservative management and literature review

Summary

Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, predominantly associated with Escherichia coli infection and unless promptly recognised and dealt with, it carries a poor prognosis. The current treatment is one of antimicrobial therapies together with nephrectomy in a majority of patients. We report an elderly man with multiple comorbidities with a diagnosis of EPN whose condition improved with antimicrobial and supportive therapy, and no surgical intervention was required.

  • pain
  • renal system
  • urinary and genital tract disorders
  • infection (gastroenterology)
  • diabetes

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