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

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:3

Enthalten in:

SN comprehensive clinical medicine - 3(2021), 2 vom: Feb., Seite 715-717

Sprache:

Englisch

Beteiligte Personen:

Tang, Andy Sing Ong [VerfasserIn]
Gan, Hock Jie [VerfasserIn]
Ting, Ingrid Pao Lin [VerfasserIn]
Yeo, Siaw Tze [VerfasserIn]
Chua, Hock Hin [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Emphysematous pyelonephritis
Subcutaneous emphysema

doi:

10.1007/s42399-021-00805-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR043331807