Culture-Negative Emphysematous Pyelonephritis as a Complication of Uncontrolled Diabetes Mellitus : A Case Report

Copyright © 2022, Omoleye et al..

Emphysematous pyelonephritis (EPN) is a severe, necrotizing infection of the renal parenchyma. It is commonly found as a complication of uncontrolled diabetes mellitus (DM). EPN has a terrible prognosis unless promptly identified and treated. In this case study, a 38-year-old man with type 2 diabetes mellitus (T2DM) was admitted due to complaints of excruciating abdominal pain, vomiting, and non-adherent to his insulin medication. The patient was subsequently diagnosed with EPN. For most patients, the current course of treatment includes nephrectomy along with antimicrobial medications. In this case report, however, the patient improved with conservative treatment such as IV fluids, antibiotics, and blood glucose control.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Cureus - 14(2022), 8 vom: 08. Aug., Seite e27856

Sprache:

Englisch

Beteiligte Personen:

Omoleye, Deborah [VerfasserIn]
Israr, Muhammad A [VerfasserIn]
Tazin, Faria [VerfasserIn]
Habib, Salma [VerfasserIn]
Desai, Shreeya [VerfasserIn]
Go, Camille Celeste [VerfasserIn]
Aranmolate, Ayobami [VerfasserIn]
Frontela, Odalys [VerfasserIn]

Links:

Volltext

Themen:

Acute kidney injury
Antibiotic therapy
Case Reports
Complicated pyelonephritis
E.coli
General internal medicine
General nephrology
Hospitalized patients
Infectious disease pathology
Outpatient family medicine
Uncontrolled diabetes mellitus

Anmerkungen:

Date Revised 17.09.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.7759/cureus.27856

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346272408