Successful medical treatment of acute bilateral emphysematous pyelonephritis

H Tahir, G Thomas, N Sheerin, H Bettington, J M Pattison, D J A Goldsmith

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46 Citations (Scopus)


Emphysematous pyelonephritis most often presents as an acute medical emergency, typically in a septic diabetic patient with acute renal failure. The management of this condition has traditionally been surgical, with nephrectomy. However, some recent reports have described successful medical interventions. We describe a case of acute bilateral emphysematous pyelonephritis in a frail patient not suitable for bilateral nephrectomy and long-term dialysis. This condition was managed medically, not surgically, with intensive antibiotic and circulatory support. The outcome was complete recovery after months of hospital-based treatment. We discuss the management of this rare but important condition in detail. (C) 2000 by the National Kidney Foundation, Inc.
Original languageEnglish
Pages (from-to)1267 - 1270
Number of pages4
JournalAmerican Journal of Kidney Diseases
Issue number6
Publication statusPublished - 2000


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