Emphysematous Pyelonephritis with Fever, Jaundice and Urinary Obstruction; a Case Report
Iranian Journal of Emergency Medicine,
Vol. 7 No. 1 (2020),
28 March 2020
,
Page e29
https://doi.org/10.22037/ijem.v7i1.30433
Abstract
Patients with Emphysematous pyelonephritis (EPN) need immediate attention because EPN is a life threatening condition in which gas-producing infection involving the renal parenchyma. We present a 34-year-old Afghan male, who was admitted to The Emergency department with jaundice, abdominal pain, nausea and vomiting and low grade fever. He also had obstructive urinary symptoms since 4 years ago. His lad data showed serum creatinine 5.4 mg/dl, bilirubin 10.4 mg/dl and thrombocytopenia. Abdominopelvic CT scan showed diffuse gas in the right renal collecting and right perirenal space with stones in the pelvis of Right kidney. Emergent nephrectomy and cystostomy was done. the patient was discharged one week later in good condition voiding cystogram and retrograde urethrogram was scheduled 2 months later which revealed long anterior urethral stricture. Anterior urethroplasty with buccal graft was successfully performed later.
- Jaundice
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References
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