Pan Gao
*
Han Yang
*The final, formatted version of the article will be published soon.
CASE REPORT article
Front. Med.
Sec. Nephrology
Volume 11 - 2024 |
doi: 10.3389/fmed.2024.1512449
This article is part of the Research Topic Antibiotic Resistance in Urinary Tract Infection - Epidemiology, Diagnosis and Treatment View all articles
Emphysematous pyelonephritis with rare and severe iliac vascular complications: A case report and review
Provisionally accepted- Department of Urology, Second people's Hospital of China Three Gorges University, Yi chang, China
Emphysematous pyelonephritis (EPN) is a rare but severe necrotizing infection often associated with diabetes, ureteral obstruction, and gas production in the renal parenchyma and perinephric area. This report describes a 54-year-old male with type 2 diabetes who presented with right lumbar pain and was diagnosed with EPN complicated by right ureteral calculi and perinephric gas accumulation. Despite initial improvement with fluid resuscitation, antibiotics, and drainage, inadequate blood glucose control led to a worsening infection, eventually involving the psoas major muscle and iliac vessels. This progression resulted in the formation of an iliac aneurysm, which required endovascular surgery. The patient's recovery was supported by proper blood glucose management and targeted antibiotic therapy. This case highlights the importance of early recognition, appropriate management, and strict glycemic control in preventing severe complications of EPN.
Keywords: Emphysematous pyelonephritis, diabetes, Ureteral Calculi, Aneurysm, Iliac Aneurysm
Received: 16 Oct 2024; Accepted: 11 Dec 2024.
Copyright: © 2024 Gao, Yang and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Pan Gao, Department of Urology, Second people's Hospital of China Three Gorges University, Yi chang, China
Han Yang, Department of Urology, Second people's Hospital of China Three Gorges University, Yi chang, China
Zhi Zhang, Department of Urology, Second people's Hospital of China Three Gorges University, Yi chang, China
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