TY - JOUR
T1 - Successful medical treatment of acute bilateral emphysematous pyelonephritis
AU - Tahir, H
AU - Thomas, G
AU - Sheerin, N
AU - Bettington, H
AU - Pattison, J M
AU - Goldsmith, D J A
PY - 2000
Y1 - 2000
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=0033659385&partnerID=8YFLogxK
U2 - 10.1053/ajkd.2000.19844
DO - 10.1053/ajkd.2000.19844
M3 - Article
VL - 36
SP - 1267
EP - 1270
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 6
ER -
