Emphysematous pyelonephritis class 3b : can it be a conservative or a surgical management? / Rosanne Amaris Caabay, Myrtle Lopez, Jemilyn Bandillo, Joyce Humangit and Cynthia Chua-Ho.

By:

Caabay, Rosanne Amaris, MD [author]

Contributor(s):

Language: English Publication details: Fairview, Quezon City Department of Internal Medicine, FEU-NRMF, 2018Description: photos (colored); (in folder)Content type:

rdacontent

Media type:

rdamedia

Carrier type:

rdacarrier

LOC classification:

MED20180003

Summary: ABSTRACT: This is a case of 53 year old male, diabetic poorly complaint to medications who presented with hypogastric pain associated with intermittent undocumented fever and bloatedness. Urinalysis showed more than 100/hpf pus cells and leukocytes of =3. No organism isolated in the urine culture. Patient was initially medically managed as septic shock secondary to urosepsis. Upon diagnostic imaging, whole abdominal CT scan revealed streakyand patchy collections of air within the left renal parenchyma and perinephric area extending to the pararenal space associated with parenchymal destruction and minimal fluid collection suggestive of emphysematous pyelonephritis Class 3B. IV antibiotics were started. Patient improved clinically with no associated hypogastic pain, flank pain, fever and dysuria however, repeat CT scan revealed prograssion of emphysematous pyelonephritis with left psoas/perinephric abscess. Hence, patient underwent lumbotomy with simple nephrectomy.

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Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	MED20180003 (Browse shelf(Opens below))	Available		R000598

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ABSTRACT: This is a case of 53 year old male, diabetic poorly complaint to medications who presented with hypogastric pain associated with intermittent undocumented fever and bloatedness. Urinalysis showed more than 100/hpf pus cells and leukocytes of =3. No organism isolated in the urine culture. Patient was initially medically managed as septic shock secondary to urosepsis. Upon diagnostic imaging, whole abdominal CT scan revealed streakyand patchy collections of air within the left renal parenchyma and perinephric area extending to the pararenal space associated with parenchymal destruction and minimal fluid collection suggestive of emphysematous pyelonephritis Class 3B. IV antibiotics were started. Patient improved clinically with no associated hypogastic pain, flank pain, fever and dysuria however, repeat CT scan revealed prograssion of emphysematous pyelonephritis with left psoas/perinephric abscess. Hence, patient underwent lumbotomy with simple nephrectomy.

Research - Department of Medicine

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