Emphysematous infections of the kidney and urinary tract : a single-center experience
Joint Authors
Mendonca, Satish
Behera, Vineet
Kumar, R. S. Vasantha
Prabhat, Peeyush
Naithani, Nardeep
Nair, Velu
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 25, Issue 4 (31 Aug. 2014), pp.823-829, 7 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2014-08-31
Country of Publication
Saudi Arabia
No. of Pages
7
Main Subjects
Topics
Abstract EN
Emphysematous pyelonephritis (EPN) is a group of potentially life-threatening conditions seen particularly in diabetics, leading to high morbidity and mortality.
Our aim was to study the profile of emphysematous infections of the kidney and urinary tract and evaluate the effect of early surgical intervention on mortality.
This is an observational study conducted in a tertiary care hospital between January 2009 and January 2013, in which the clinical, laboratory, microbiological and radiological profiles of patients with EPN (diagnosed based on clinical, laboratory and imaging findings) was studied.
A total of 12 patients were studied, including 10 with diabetes.
A total of 66.6 % had pyelonephritis, 25 % had both cystitis and pyelonephritis and 8.3 % had only cystitis ; involvement of the left kidney was more common and bilateral involvement was seen in two cases.
The clinical features seen in the patients included fever (100 %), features of urinary infection (66.6 %) and flank pain (50 %).
Culture positivity was seen in only 50 % of the cases.
Ten patients underwent percutaneous drainage (PCD) within 24 h, and two of these patients required nephrectomy subsequently.
All patients were followed-up for one month.
There was one death (mortality 8.3 %), and all other patients responded well and recovered.
Our study suggests that EPN is a potentially life-threatening condition that requires aggressive and prompt medical therapy with early PCD to reduce morbidity and mortality.
Nephrectomy should be reserved for cases that do not respond to PCD.
American Psychological Association (APA)
Behera, Vineet& Kumar, R. S. Vasantha& Mendonca, Satish& Prabhat, Peeyush& Naithani, Nardeep& Nair, Velu. 2014. Emphysematous infections of the kidney and urinary tract : a single-center experience. Saudi Journal of Kidney Diseases and Transplantation،Vol. 25, no. 4, pp.823-829.
https://search.emarefa.net/detail/BIM-383504
Modern Language Association (MLA)
Behera, Vineet…[et al.]. Emphysematous infections of the kidney and urinary tract : a single-center experience. Saudi Journal of Kidney Diseases and Transplantation Vol. 25, no. 4 (2014), pp.823-829.
https://search.emarefa.net/detail/BIM-383504
American Medical Association (AMA)
Behera, Vineet& Kumar, R. S. Vasantha& Mendonca, Satish& Prabhat, Peeyush& Naithani, Nardeep& Nair, Velu. Emphysematous infections of the kidney and urinary tract : a single-center experience. Saudi Journal of Kidney Diseases and Transplantation. 2014. Vol. 25, no. 4, pp.823-829.
https://search.emarefa.net/detail/BIM-383504
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 828-829
Record ID
BIM-383504