Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient

Emphysematous pyelonephritis (EPN) is a life-threatening infection characterized by the formation of gas. Complications of EPN include septic shock, acute renal failure, and disseminated intravascular coagulation. Spontaneous subcapsular hematoma (SCH) has also been reported as a rare complication o...

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Main Authors:	Ji Won Min, Soon Kyu Lee, Yu Mi Ko, Ki Wook Kwon, Jeong Uk Lim, Yeong Bok Lee, Hye Won Lee, Yoo Dong Won, Young Ok Kim
Format:	Article
Language:	English
Published:	The Korean Society of Nephrology 2014-09-01
Series:	Kidney Research and Clinical Practice
Subjects:	Emphysema Hematoma Pyelonephritis
Online Access:	http://www.sciencedirect.com/science/article/pii/S2211913214000321

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spelling	doaj-aaffb15bb9604ece9947ebdb1e1ec1c62020-11-25T02:31:38ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322014-09-0133315015310.1016/j.krcp.2014.05.001Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patientJi Won Min0Soon Kyu Lee1Yu Mi Ko2Ki Wook Kwon3Jeong Uk Lim4Yeong Bok Lee5Hye Won Lee6Yoo Dong Won7Young Ok Kim8Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Radiology, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaEmphysematous pyelonephritis (EPN) is a life-threatening infection characterized by the formation of gas. Complications of EPN include septic shock, acute renal failure, and disseminated intravascular coagulation. Spontaneous subcapsular hematoma (SCH) has also been reported as a rare complication of EPN, although there have been no reports to date of this occurring prior to the presentation of EPN. We report a case of EPN that initially presented as spontaneous SCH. The patient was admitted for left flank pain, and initial computed tomography revealed SCH without any air shadows. Laboratory findings and clinical symptoms suggested the presence of urinary tract infection and the patient was started on antibiotics. Fever developed 24 hours after admission. On follow-up computed tomography 7 days later, EPN was newly observed, and a percutaneous drain was inserted. Blood, urine, and drainage fluid cultures all revealed growth of extended-spectrum β-lactamase-negative Escherichia coli.http://www.sciencedirect.com/science/article/pii/S2211913214000321EmphysemaHematomaPyelonephritis
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Ji Won Min Soon Kyu Lee Yu Mi Ko Ki Wook Kwon Jeong Uk Lim Yeong Bok Lee Hye Won Lee Yoo Dong Won Young Ok Kim
spellingShingle	Ji Won Min Soon Kyu Lee Yu Mi Ko Ki Wook Kwon Jeong Uk Lim Yeong Bok Lee Hye Won Lee Yoo Dong Won Young Ok Kim Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient Kidney Research and Clinical Practice Emphysema Hematoma Pyelonephritis
author_facet	Ji Won Min Soon Kyu Lee Yu Mi Ko Ki Wook Kwon Jeong Uk Lim Yeong Bok Lee Hye Won Lee Yoo Dong Won Young Ok Kim
author_sort	Ji Won Min
title	Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
title_short	Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
title_full	Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
title_fullStr	Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
title_full_unstemmed	Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
title_sort	emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient
publisher	The Korean Society of Nephrology
series	Kidney Research and Clinical Practice
issn	2211-9132
publishDate	2014-09-01
description	Emphysematous pyelonephritis (EPN) is a life-threatening infection characterized by the formation of gas. Complications of EPN include septic shock, acute renal failure, and disseminated intravascular coagulation. Spontaneous subcapsular hematoma (SCH) has also been reported as a rare complication of EPN, although there have been no reports to date of this occurring prior to the presentation of EPN. We report a case of EPN that initially presented as spontaneous SCH. The patient was admitted for left flank pain, and initial computed tomography revealed SCH without any air shadows. Laboratory findings and clinical symptoms suggested the presence of urinary tract infection and the patient was started on antibiotics. Fever developed 24 hours after admission. On follow-up computed tomography 7 days later, EPN was newly observed, and a percutaneous drain was inserted. Blood, urine, and drainage fluid cultures all revealed growth of extended-spectrum β-lactamase-negative Escherichia coli.
topic	Emphysema Hematoma Pyelonephritis
url	http://www.sciencedirect.com/science/article/pii/S2211913214000321
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Emphysematous pyelonephritis initially presenting as a spontaneous subcapsular hematoma in a diabetic patient

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