Successful medical treatment of emphysematous pyelonephritis in chronic hemodialysis

We report the case of a 77‐year‐old woman with diabetes and end‐stage renal disease on chronic hemodialysis that presented with fever and left flank pain. A bubbly gas pattern inside the left kidney was demonstrated on abdominal computed tomography scan and blood cultures grew Escherichia coli. She was successfully treated solely with systemic antibiotics. This highlights the fact that prompt recognition of imaging findings associated with benign prognosis is essential for a favorable outcome. It allows for an effective management avoiding high‐risk interventions, especially in frail patients with multiple comorbidities. Finally, we review all published cases of EPN in chronic dialysis patients.

Source: Hemodialysis International - February 3, 2015 Category: Hematology Authors: Georgios Vlachopanos, Theodoros Kassimatis, Adamantia Zerva, Anastasia Kokkona, Eirini Stavroulaki, Charilaos Zacharogiannis, Athanasios Agrafiotis Tags: Case Report Source Type: research