Necrotising fasciitis from fulminant pyelonephritis.

Autor:	Bong, Christopher Y., Burstow, Matthew J., Yuide, Peter J., Chua, Terence C.
Předmět:	NECROTIZING fasciitis NURSING home residents URINARY tract infections FASCIITIS DIABETES ENGLISH literature PYELONEPHRITIS
Zdroj:	Surgical Practice; Aug2020, Vol. 24 Issue 3, p119-121, 3p
Abstrakt:	Emphysematous pyelonephritis (EPN) is a severe urinary tract infection (UTI) that causes kidney necrosis by gas‐producing bacteria. Escherichia coli is most implicated. Type‐2 diabetes mellitus (T2DM) is a common predisposing factor. Necrotising fasciitis (NF) is an uncommon complication of EPN that has severe consequences. It is easily missed due to rarity. We present the case of an 82‐year‐old female nursing home resident with T2DM that presents with NF of the left flank following EPN of the left kidney that has penetrated through the superior lumbar triangle. This is the first time this anatomical pathway has been implicated in NF secondary to EPN in the English literature. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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