A patient with emphysematous pyelonephritis presenting with acute kidney injury: A case report.
- Author:
Noot Sengthavisouk
1
;
Phaly Phanmalavong
1
;
Vilada Chansamouth
2
;
Phetsavanh Chanthavilay
3
;
Sanong Thongsana
1
Author Information
1. Nephrology Department, Mittaphab Hospital, Ministry of Health, Vientiane Capital, Lao PDR
2. Lao-Oxford-Mahosot Hospital-Wellcome Trust Research Unit (LOMWRU), Microbiology Laboratory, Mahosot Hospital, Ministry of Health, Vientiane Capital, Lao PDR
3. Institute of Research and Education Development (IRED), University of Health Sciences, Ministry of Health, Vientiane Capital, Lao PDR.
- Publication Type:Journal Article
- Keywords:
Emphysematous Pyelonephritis, acute kidney injury, Vientiane, Lao PDR
- From:
Lao Medical Journal
2020;11(11):46-52
- CountryLao People's Democratic Republic
- Language:Lao
-
Abstract:
Emphysematous Pyelonephritis (EPN) is an uncommon but life-threatening condition for which diabetic patients are at high risk. The most common chief complaint bringing patients to the hospital is upper urinary tract infection. Early clinical diagnosis with radiography is a key to reduce the complications and death due to emphysematous pyelonephritis. We present a case study of a 45-year old female patient who was presenting to the emergency room with left flank pain. Blood testing showed acute kidney injury, E. coli bacteremia, and the radiography demonstrated an abnormal image of the left kidney consistent with EPN. Symptomatic treatment and antibiotic were given, but no response and developed to heart failure and death at Emergency Room.
- Full text:8.A case report_noot_rev.pdf
