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What is emphysematous pyelonephritis, and how this is managed?
Emphysematous pyelonephritis is an unusual presentation of acute necrotizing renal infection. It is characterized by gas formation in kidney tissue and the perinephric space, which is usually associated with Enterobacteriaceae infection. Patients with this presentation usually have diabetes, and obstruction is often present.
How is Emphysematous pyelonephritis treated?
Management requires effective antimicrobial therapy together with glucose control, correction of the obstruction, and drainage of any abscesses. Percutaneous drainage is the recommended initial approach, if possible. Delayed elective nephrectomy may subsequently be required for some patients.
