La pyélonéphrite emphysémateuse bilatérale à Candida glabrata : une entité exceptionnelle

Autor:	Jamel Mnif, Chakib Marrakchi, Hajer Harrabi, B. Hammami, Emna Daoud, Dorra Lahiani, Emna Elleuch, Mounir Ben Jemâa, I. Maâloul
Rok vydání:	2010
Předmět:	medicine.medical_specialty Candida glabrata biology business.industry Septic shock Urinary system Interstitial nephritis biology.organism_classification medicine.disease Gastroenterology Surgery Ketoacidosis Nephrology Internal medicine medicine Complication business Mycosis Kidney disease
Zdroj:	Néphrologie & Thérapeutique. 6:541-543
ISSN:	1769-7255
DOI:	10.1016/j.nephro.2010.05.005
Popis:	Acute emphysematous pyelonephritis (AEP) is a severe form of urinary tract infection. It occurs usually in diabetics. The most concerned agents are the Gram-negative bacilli. We report a first case of bilateral AEP due to Candida glabrata, occurred in a 64-year-old diabetic woman. The clinical presentation started with fever and abdominal pains, without signs of urinary tract infection. Within six hours, the patient had developed a septic shock with renal failure and ketoacidosis. The diagnosis was confirmed by CT scan and the pathogen was isolated in urine. Despite antibiotic and antifungal treatment, she died from a septic shock. Acute emphysematous pyelonephritis due to Candida species is rare. However, the addition of antifungal therapy seems justified if a severe emphysematous pyelonephritis is associated with risk factors of Candida infection.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::ce30c41bc46c6af2cdd85602424d3f40 https://doi.org/10.1016/j.nephro.2010.05.005 Zobrazit plný text záznamu Full Text from ScienceDirect