Emphysematous Pyelonephritis in a Horseshoe kidney
| Autor: | Carlos Daniel Guerra-Castañón, Mario Alberto Ochoa-Arvizo, Gustavo Arrambide-Gutiérrez, Efraín Ruíz-Galindo, José Iván Robles-Torres, Fred Alain Montelongo-Rodríguez |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Abdominal pain Urology 030232 urology & nephrology Gastroenterology Renal infection 03 medical and health sciences 0302 clinical medicine Emphysematous pyelonephritis Diabetes mellitus Internal medicine Medicine Humans Fused Kidney Emphysema Pyelonephritis business.industry Septic shock Horseshoe kidney Emergency department medicine.disease 030220 oncology & carcinogenesis Shock (circulatory) Female medicine.symptom business |
| Zdroj: | Urology. 144 |
| ISSN: | 1527-9995 |
| Popis: | Emphysematous pyelonephritis is a necrotizing renal infection that results in the presence of gas in renal parenchyma, collecting system, and surrounding tissues. Ninety-five percent of the patients have underlying uncontrolled diabetes mellitus, but non-diabetic patients may be affected due to ureteral obstruction and infection with gas forming pathogens. Several poor prognostic factors have been described, such as thrombocytopenia, acute kidney failure, impaired consciousness, and shock. We present a case of a 41-year-old female who attends to the emergency department with signs of septic shock and diffuse abdominal pain. The diagnosis of emphysematous pyelonephritis in a horseshoe kidney was confirmed. |
| Databáze: | OpenAIRE |
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