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We report the history of a 65-year-old woman, diabetic for 25 years who presented progressive alteration of consciousness with hyperthermia, right upper quadrant pain and vomiting. Bacteriological and radiographic investigations, especially computerized tomography scan of the abdomen, led to the diagnosis of emphysematous pyelonephritis caused by Escherichia coli. Despite a large spectrum antibiotic therapy and surgical drainage of the gas collection, the patient remained septic. An emergency nephrectomy was eventually performed. We review the characteristics of emphysematous pyelonephritis. Early diagnosis is essential because without early nephrectomy mortality rates reach 75%.
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
September 1999,
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
January 1990,
Annales d'urologie,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
January 2020,
BMC urology,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
February 2021,
BMJ case reports,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
December 2023,
Journal of nephrology,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
October 1987,
La Tunisie medicale,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
January 1986,
Annales d'urologie,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
September 2006,
The Lancet. Infectious diseases,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
July 1993,
Diabetic medicine : a journal of the British Diabetic Association,
B Picron, and
T Mauerhoff, and
E Farchakh, and
F X Wese
February 1992,
Revista clinica espanola,
