Bilateral emphysematous pyelitis

A rare encounter in urology

Research output: Contribution to journalArticle

Abstract

Gas-forming infection of the kidneys can affect either the parenchyma or the collecting system. They are known as emphysematous pyelonephritis (EPN) and emphysematous pyelitis (EP) respectively. Bilateral EPN is a fairly established entity and numerous articles about this condition have been published. However, much less is known about bilateral EP. We report a rare case of bilateral EP and a literature review of this disease. A 66-year-old woman with long-standing bilateral staghorn calculi presented with bilateral EP and severe sepsis. She was treated with antibiotics and bilateral double-J stents to drain the upper urinary tracts. She recovered after 1 month of intensive care and medical therapy. Percutaneous nephrolithotomy (PCNL) had been scheduled to treat her staghorn calculi. A literature search on MEDLINE and Google Scholar with the terms "bilateral emphysematous pyelitis" only found 1 case report in English and another 2 reports in the Korean language that discussed bilateral EP. The collective experience of these few cases, including the present case, suggests that bilateral EP runs a more benign course than bilateral EPN. It should be diagnosed as soon as possible with computed tomography (CT) scans of the renal system. Current evidence shows that can be treated successfully with timely antibiotics. Drainage of the collecting system either percutaneously or with placement of double-J stents might facilitate recovery.

Original languageEnglish
Pages (from-to)319-321
Number of pages3
JournalClinica Terapeutica
Volume164
Issue number4
DOIs
Publication statusPublished - 2013

Fingerprint

Pyelitis
Urology
Pyelonephritis
Stents
Anti-Bacterial Agents
Kidney
Percutaneous Nephrostomy
Critical Care
Urinary Tract
MEDLINE
Drainage
Sepsis
Language
Gases
Tomography

Keywords

  • Emphysematous pyelitis
  • Emphysematous pyelonephritis
  • Urolithiasis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bilateral emphysematous pyelitis : A rare encounter in urology. / Tan, Guan Hee; Ho, Chee Kong Christopher; Bahadzor, B.; Singam, Praveen; Goh, Eng Hong; Syahril, A. S.; Md. Zainuddin, Zulkifli.

In: Clinica Terapeutica, Vol. 164, No. 4, 2013, p. 319-321.

Research output: Contribution to journalArticle

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