Emphysematous Pyelonephritis in a Child with Nephrolithiasis

A 4-year-old Caucasian female presented with abdominal pain, emesis, and fever. She had been having recurrent urinary tract infections over the past year prior to admission. She has had multiple urine cultures positive for Escherichia coli. Three days prior to admission, a renal ultrasound was performed and multiple renal stones were detected. A computed tomography of the abdomen and pelvis was performed on admission and showed multiple renal calculi with the largest measuring 11 × 13 mm. In addition there was gas noted within the right renal collecting system (Figures 1 and 2; Figure 2 available at www.jpeds.com).
Source: The Journal of Pediatrics - Category: Pediatrics Authors: Tags: Insights and Images Source Type: research