Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman

Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman

A 78-year-old black woman with a 10-year history of diabetes mellitus was admitted to the intensive care unit. Upon admission, she presented with chills, nausea, and left flank pain. The presence of hyperglycemia (fasting blood glucose, 19.7 mmol/L) and an altered consciousness required immediate tr...

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Main Authors: G. Asafu Adjaye Frimpong, E. Aboagye, P. Amankwah, J. Boateng, A.S.B. Amoako-Adu
Format: Article
Language:English
Published: Elsevier 2018-08-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318301833
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spelling doaj-fe4b73badae2480f884e0a85464968b32020-11-25T00:01:19ZengElsevierRadiology Case Reports1930-04332018-08-01134848854Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African womanG. Asafu Adjaye Frimpong0E. Aboagye1P. Amankwah2J. Boateng3A.S.B. Amoako-Adu4Department of Radiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana; Spectra Health Imaging and Interventional Radiology, Kumasi, Ghana; Corresponding author.Spectra Health Imaging and Interventional Radiology, Kumasi, Ghana; Department of Molecular Medicine, Kwame Nkrumah University of Science and Technology, Kumasi, GhanaSpectra Health Imaging and Interventional Radiology, Kumasi, Ghana; Department of Radiology, Komfo Anokye Teaching Hospital, Kumasi, GhanaAtasemanso Hospital Limited, Kumasi, GhanaAtasemanso Hospital Limited, Kumasi, GhanaA 78-year-old black woman with a 10-year history of diabetes mellitus was admitted to the intensive care unit. Upon admission, she presented with chills, nausea, and left flank pain. The presence of hyperglycemia (fasting blood glucose, 19.7 mmol/L) and an altered consciousness required immediate treatment with insulin analog. Laboratory investigations and enhanced computed tomography scan led to the diagnosis of bilateral emphysematous pyelonephritis (EPN). The patient responded well to conservative treatment with antibiotics, and was finally discharged after 22 days when the computed tomography scan showed resolution of all the pockets of air. This case and associated literature review of 25 previously reported cases of bilateral EPN show the changing trend of EPN management from emergency nephrectomy toward conservative treatment with potent antibiotics and/or percutaneous drainage, and has been associated with higher survival rates compared to emergency nephrectomy. Keywords: Bilateral emphysematous pyelonephritis, Medical management, CThttp://www.sciencedirect.com/science/article/pii/S1930043318301833
collection DOAJ
language English
format Article
sources DOAJ
author G. Asafu Adjaye Frimpong
E. Aboagye
P. Amankwah
J. Boateng
A.S.B. Amoako-Adu
spellingShingle G. Asafu Adjaye Frimpong
E. Aboagye
P. Amankwah
J. Boateng
A.S.B. Amoako-Adu
Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman
Radiology Case Reports
author_facet G. Asafu Adjaye Frimpong
E. Aboagye
P. Amankwah
J. Boateng
A.S.B. Amoako-Adu
author_sort G. Asafu Adjaye Frimpong
title Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman
title_short Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman
title_full Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman
title_fullStr Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman
title_full_unstemmed Bilateral emphysematous pyelonephritis cured by antibiotics alone in a black African woman
title_sort bilateral emphysematous pyelonephritis cured by antibiotics alone in a black african woman
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2018-08-01
description A 78-year-old black woman with a 10-year history of diabetes mellitus was admitted to the intensive care unit. Upon admission, she presented with chills, nausea, and left flank pain. The presence of hyperglycemia (fasting blood glucose, 19.7 mmol/L) and an altered consciousness required immediate treatment with insulin analog. Laboratory investigations and enhanced computed tomography scan led to the diagnosis of bilateral emphysematous pyelonephritis (EPN). The patient responded well to conservative treatment with antibiotics, and was finally discharged after 22 days when the computed tomography scan showed resolution of all the pockets of air. This case and associated literature review of 25 previously reported cases of bilateral EPN show the changing trend of EPN management from emergency nephrectomy toward conservative treatment with potent antibiotics and/or percutaneous drainage, and has been associated with higher survival rates compared to emergency nephrectomy. Keywords: Bilateral emphysematous pyelonephritis, Medical management, CT
url http://www.sciencedirect.com/science/article/pii/S1930043318301833
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