Emphysematous pyelonephritis in a patient with a solitary kidney: a case report

• Autor(a) principal: Chacar, Kamilla da Silva
• Data de Publicação: 2013
• Outros Autores: Martins, Letícia Lima, Lucas, Sara Fonseca Lucas
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/70
• topic: Pielonefrite aguda necrosante; nefrolitíase; nefrectomia; Acute necrotizing pyelonephritis; nephrolithiasis; nephrectomy

The emphysematous pyelonephritis (EP) is a rare disorder characterized by severe necrotizing infection and potentially fatal kidney parenchyma, in which one observes the formation of gas in its interior as well as the collection system and/or tissue near kidney. It is evident striking relationship with diabetes mellitus and obstructive uropathy, with significant mortality. Objective: To report a case of emphysematous pyelonephritis in a patient with solitary kidney. Descriptions: Female patient, 26, referring back pain right at high intensity, followed by vomiting and poor general condition. Computerized tomography of the abdomen demonstrated calculations the right kidney and intraparenchymal gas, suggesting emphysematous pyelonephritis. She was treated conservatively and obtained favorable clinical evolution. Conclusions: PE is an acute infection characterized by the presence of air in the renal parenchyma and surrounding tissues, where the main etiologic agent is E. coli. The abdominal CT is the method of choice for diagnosis. Treatment depends on the CT findings. The patient in this report, classified as class IV according to the scale of Huang and Tseng, obtained favorable clinical evolution with only conservative treatment, not requiring surgical intervention, in contrast to the data obtained in the literature. It also contrasts the fact that the patient be young, not having fever during the course of the disease and negative urine culture.