An emphysematous pyelonephritis of favorable evolution after medical treatment: About a case

Abstract

Introduction: Emphysematous pyelonephritis is a necrotic kidney infection characterized by the presence of gas within the renal parenchyma, excretory cavities or perirenal spaces. Aim: Our purpose is to show the effectiveness of medical treatment, especially at the early stage of the disease. Case report: We report a case of emphysematous pyelonephritis in a diabetic 60-year-old woman who had a favorable course of antibiotics without the need for surgery. Comment: Described for the first time in 1898, emphysematous pyelonephritis is a serious and life-threatening infection. Rare disorder, occurring preferentially on diabetic ground, is related to the development of anaerobic germs. It can be complicated by septic shock and multi-visceral failure. Computed tomography is the reference examination that allows positive diagnosis by the presence of gas in the renal parenchyma, excretory cavities or perirenal spaces. Therapeutic attitudes differ between surgical treatment, percutaneous drainage and conservative treatment. Conclusion: This observation illustrates the place of medical treatment at the early stage of the disease