Emphysematous pyelonephritis and renal amoebiasis in a patient with diabetes mellitus

• Published in: International journal of urology Vol. 10; no. 7; pp. 404 - 406
• Main Authors: GUVEL, SEZGIN, KILINC, FERHAT, KAYASELCUK, FAZILET, TUNCER, ILHAN, OZKARDES, HAKAN
• Format: Journal Article
• Language: English
• Published: Melbourne, Australia Blackwell Science Pty 01-07-2003
• Subjects: Adult; Animals; Blood Glucose - analysis; Diabetes Complications; Diabetes Mellitus - blood; Diabetes Mellitus - therapy; Emphysema - complications; Emphysema - diagnosis; Emphysema - surgery; emphysematous pyelonephritis; Entamoeba histolytica - isolation & purification; Entamoebiasis - complications; Entamoebiasis - microbiology; Entamoebiasis - surgery; Female; Humans; Hypoglycemic Agents - therapeutic use; Nephrectomy; Pyelonephritis - complications; Pyelonephritis - diagnosis; Pyelonephritis - surgery; renal amoebiasis; Treatment Outcome
• ISSN: 0919-8172; 1442-2042
• DOI: 10.1046/j.1442-2042.2003.00642.x

Emphysematous pyelonephritis is an uncommon and life‐threatening infection of the kidney that is characterized by gas formation within or around the kidney and is associated with diabetes mellitus and urinary tract infection. Amoebiasis is a protozoal infection caused by Entamoeba histolytica. In its invasive forms, the disease is characterized by visceral abscess formations. We present a case of concomitant emphysematous pyelonephritis and renal amoebiasis in a 42‐year‐old female with uncontrolled diabetes mellitus. The patient did not respond well to initial supportive treatment and antibiotherapy. Therefore, nephrectomy was performed. She did extremely well after the operation and was discharged with antidiabetics and antibiotics.