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Successful nephrectomy after a failure of non-surgical treatment in emphysematous pyelonephritis: A case report by Terukumar Chandrasekaran; Shirley Chong; David Eng Yeow Gan; Zainal Adwin Zainal Abidin; Firdaus Hayati is a Medicine article available to read on EtoBox.

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Emphysematous pyelonephritis (EP) is an uncommon condition involving acute severe necrotising infection in the renal parenchyma, perinephric space and collecting system, with a mortality rate of up to 13%. A 62-year-old male with poorly controlled diabetes mellitus presented with severe epigastric pain and shortness of breath for three days. A computed tomography scan revealed class 3B EP, which failed medical therapy and percutaneous drainage. He underwent a nephrectomy and achieved an excellent clinical recovery. Septic shock and uncontrolled diabetes mellitus are two risk factors that lead to a poorer prognosis. Class 3B EP with failed medical therapy and percutaneous drainage would benefit from nephrectomy.

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Author

Terukumar Chandrasekaran; Shirley Chong; David Eng Yeow Gan; Zainal Adwin Zainal Abidin; Firdaus Hayati

Publisher

Elsevier BV

Published

2022

Language

EN

Field

Medicine (Physical Sciences)