Publication:

Successful medical treatment of acute bilateral emphysematous pyelonephritis (2000)

Author(s): Sheerin N; Tahir H; Thomas G; Bettington H; Pattison JM; Goldsmith DJ

  • : Successful medical treatment of acute bilateral emphysematous pyelonephritis

Abstract: Emphysematous pyelonephritis most often presents as an acute medical emergency, typically in a septic diabetic patient with acute renal failure. The management of this condition has traditionally been surgical, with nephrectomy. However, some recent reports have described successful medical interventions. We describe a case of acute bilateral emphysematous pyelonephritis in a frail patient not suitable for bilateral nephrectomy and long-term dialysis. This condition was managed medically, not surgically, with intensive antibiotic and circulatory support. The outcome was complete recovery after months of hospital-based treatment. We discuss the management of this rare but important condition in detail.

Notes: Case Reports Journal Article United states the official journal of the National Kidney Foundation

  • Short Title: Successful medical treatment of acute bilateral emphysematous pyelonephritis
  • Date: 01-12-2000
  • Journal: American Journal of Kidney Diseases
  • Volume: 36
  • Issue: 6
  • Pages: 1267-1270
  • Publisher: W.B. Saunders Co. Ltd.
  • Publication type: Article
  • Bibliographic status: Published

Keywords: Anti-Bacterial Agents/*therapeutic use Combined Modality Therapy Diabetes Mellitus, Type 2/complications Emphysema/*therapy *Hemofiltration Humans Kidney Failure, Acute/*therapy Male Middle Aged Pyelonephritis/*therapy Sepsis/complications/drug therapy Thienamycins/*therapeutic use Treatment Outcome Vancomycin/*therapeutic use

Staff

Professor Neil Sheerin
Professor of Nephrology