URINARY TRACT INFECTIONS Emphysematous pyelonephritis in a diabetic patient with obstructed kidney

摘要

Emphysematous pyelonephritis (EPN) is an acute, rare, inflammatory disease, which typically occursin patients who suffer from diabetes mellitus. We report the case of a patient who was admitted tothe Department of Urology with septic signs, in whom, after performing computed tomography, thediagnosis of EPN was established. The patient underwent organ–preserving treatment, which consistedof pyelolithotomy with nephrostomy, and the insertion of a double J catheter into the left ureter.The importance of the classification of EPN is also discussed. The need for individualized proceduresis highlighted