Emphysematous pyelonephritis (EPN) is a rare, severe acute, necrotizing infection of the kidney characterized by presence of gas within the renal parenchyma, collecting system and perirenal tissues. It is commonly caused by ascending infection due to E.coli. Other gas forming organisms like Klebseilla, proteus etc. may spread by hematogenous route. A patient especially if a woman, with poorly managed diabetes, presents with urinary tract infection, sepsis and renal insufficiency.
Ultrasound and CT plays an invaluable role in the diagnosis and management. In our study, nine patients of EPN were studied during the period of 2011-2013. All the patients were diabetics, invariably presented with fever, abdominal discomfort or pain at the time of presentation. Pus in urine with raised TLC with leukocytosis was seen in all of them. Urine culture showed bacterial growth in 5(55.5%) patients,…
