Emphysematous Pyelonephritis—an Unexpected Cause of Extensive Subcutaneous Emphysema: Case Report
Abstract Emphysematous pyelonephritis (EPN) can be lethal and organ threatening if not recognized and treated promptly. We report a case of EPN presenting with extensive subcutaneous emphysema. A 42-year-old patient presented with severe sepsis and impending diabetic ketoacidosis. Investigations showed ruptured right EPN which resulted in pneumo-retroperitoneum, pneumo-mediastinum, and extensive subcutaneous emphysema. Emergency open retroperitoneal surgical drainage in addition to targeted antibiotics was started. Patient recovered well clinically and radiologically without a need for nephrectomy. Prompt diagnosis and timely treatment are of utmost importance. Clinical suspicion should be heightened in at-risk patients who present in sepsis state with a diagnosis of pyelonephritis or those who are not responding to the routine management of pyelonephritis..
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2021 |
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Erschienen: |
2021 |
Enthalten in: |
Zur Gesamtaufnahme - volume:3 |
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Enthalten in: |
SN comprehensive clinical medicine - 3(2021), 2 vom: Feb., Seite 715-717 |
Sprache: |
Englisch |
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Beteiligte Personen: |
Tang, Andy Sing Ong [VerfasserIn] |
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Links: |
Volltext [lizenzpflichtig] |
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Themen: |
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doi: |
10.1007/s42399-021-00805-7 |
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funding: |
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PPN (Katalog-ID): |
SPR043331807 |
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520 | |a Abstract Emphysematous pyelonephritis (EPN) can be lethal and organ threatening if not recognized and treated promptly. We report a case of EPN presenting with extensive subcutaneous emphysema. A 42-year-old patient presented with severe sepsis and impending diabetic ketoacidosis. Investigations showed ruptured right EPN which resulted in pneumo-retroperitoneum, pneumo-mediastinum, and extensive subcutaneous emphysema. Emergency open retroperitoneal surgical drainage in addition to targeted antibiotics was started. Patient recovered well clinically and radiologically without a need for nephrectomy. Prompt diagnosis and timely treatment are of utmost importance. Clinical suspicion should be heightened in at-risk patients who present in sepsis state with a diagnosis of pyelonephritis or those who are not responding to the routine management of pyelonephritis. | ||
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