Emphysematous pyelonephritis caused by C. glabrata
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022000300447 |
Resumo: | Abstract Emphysematous pyelonephritis (EPN) is a rare acute necrotizing infection of the kidney and surrounding tissues, with gas in the renal parenchyma, collecting system or perirenal tissue. The bacterial etiology predominates; mainly Gram-negative bacilli; Candida spp. and C. albicans are rarely described. We describe a case of EPN caused by C. glabrata, sensitive to fluconazole in a young, hypertensive woman with undiagnosed diabetes mellitus (DM), with renal dysfunction upon admission; her abdominal CT scan found a volumetric increase in the left kidney, signs of gas collections and perirenal blurring. Despite the antimicrobial therapy instituted, due to clinical refractoriness, a double J catheter and subsequent total nephrectomy were indicated, with good postoperative evolution. Her uroculture showed C. glabrata sensitive to fluconazole, and the pathology study showed tubular atrophy and intense interstitial inflammatory infiltrate. Despite the serious, potentially fatal condition, we could control the infection and the patient recovered fully. Poor DM management is an important triggering factor, and it is of great relevance to identify the EPN through imaging exams due to the peculiarities of its clinical and potentially surgical management |
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Emphysematous pyelonephritis caused by C. glabrataUrinary Tract InfectionsCandida glabrataPyelonephritisNephrectomyDiabetes MellitusAbstract Emphysematous pyelonephritis (EPN) is a rare acute necrotizing infection of the kidney and surrounding tissues, with gas in the renal parenchyma, collecting system or perirenal tissue. The bacterial etiology predominates; mainly Gram-negative bacilli; Candida spp. and C. albicans are rarely described. We describe a case of EPN caused by C. glabrata, sensitive to fluconazole in a young, hypertensive woman with undiagnosed diabetes mellitus (DM), with renal dysfunction upon admission; her abdominal CT scan found a volumetric increase in the left kidney, signs of gas collections and perirenal blurring. Despite the antimicrobial therapy instituted, due to clinical refractoriness, a double J catheter and subsequent total nephrectomy were indicated, with good postoperative evolution. Her uroculture showed C. glabrata sensitive to fluconazole, and the pathology study showed tubular atrophy and intense interstitial inflammatory infiltrate. Despite the serious, potentially fatal condition, we could control the infection and the patient recovered fully. Poor DM management is an important triggering factor, and it is of great relevance to identify the EPN through imaging exams due to the peculiarities of its clinical and potentially surgical managementSociedade Brasileira de Nefrologia2022-09-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022000300447Brazilian Journal of Nephrology v.44 n.3 2022reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2020-0184info:eu-repo/semantics/openAccessSchutz,Eduardo AugustoZabott,Ana PaulaBoaretto,Rubia Bethania BielaToyama,GiseleMorais,Carlos Floriano deMoroni,Juliana GerhardtOliveira,Carla Sakuma deeng2022-09-23T00:00:00Zoai:scielo:S0101-28002022000300447Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2022-09-23T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
Emphysematous pyelonephritis caused by C. glabrata |
title |
Emphysematous pyelonephritis caused by C. glabrata |
spellingShingle |
Emphysematous pyelonephritis caused by C. glabrata Schutz,Eduardo Augusto Urinary Tract Infections Candida glabrata Pyelonephritis Nephrectomy Diabetes Mellitus |
title_short |
Emphysematous pyelonephritis caused by C. glabrata |
title_full |
Emphysematous pyelonephritis caused by C. glabrata |
title_fullStr |
Emphysematous pyelonephritis caused by C. glabrata |
title_full_unstemmed |
Emphysematous pyelonephritis caused by C. glabrata |
title_sort |
Emphysematous pyelonephritis caused by C. glabrata |
author |
Schutz,Eduardo Augusto |
author_facet |
Schutz,Eduardo Augusto Zabott,Ana Paula Boaretto,Rubia Bethania Biela Toyama,Gisele Morais,Carlos Floriano de Moroni,Juliana Gerhardt Oliveira,Carla Sakuma de |
author_role |
author |
author2 |
Zabott,Ana Paula Boaretto,Rubia Bethania Biela Toyama,Gisele Morais,Carlos Floriano de Moroni,Juliana Gerhardt Oliveira,Carla Sakuma de |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Schutz,Eduardo Augusto Zabott,Ana Paula Boaretto,Rubia Bethania Biela Toyama,Gisele Morais,Carlos Floriano de Moroni,Juliana Gerhardt Oliveira,Carla Sakuma de |
dc.subject.por.fl_str_mv |
Urinary Tract Infections Candida glabrata Pyelonephritis Nephrectomy Diabetes Mellitus |
topic |
Urinary Tract Infections Candida glabrata Pyelonephritis Nephrectomy Diabetes Mellitus |
description |
Abstract Emphysematous pyelonephritis (EPN) is a rare acute necrotizing infection of the kidney and surrounding tissues, with gas in the renal parenchyma, collecting system or perirenal tissue. The bacterial etiology predominates; mainly Gram-negative bacilli; Candida spp. and C. albicans are rarely described. We describe a case of EPN caused by C. glabrata, sensitive to fluconazole in a young, hypertensive woman with undiagnosed diabetes mellitus (DM), with renal dysfunction upon admission; her abdominal CT scan found a volumetric increase in the left kidney, signs of gas collections and perirenal blurring. Despite the antimicrobial therapy instituted, due to clinical refractoriness, a double J catheter and subsequent total nephrectomy were indicated, with good postoperative evolution. Her uroculture showed C. glabrata sensitive to fluconazole, and the pathology study showed tubular atrophy and intense interstitial inflammatory infiltrate. Despite the serious, potentially fatal condition, we could control the infection and the patient recovered fully. Poor DM management is an important triggering factor, and it is of great relevance to identify the EPN through imaging exams due to the peculiarities of its clinical and potentially surgical management |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022000300447 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002022000300447 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2175-8239-jbn-2020-0184 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.44 n.3 2022 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
_version_ |
1752122067422019584 |