Novelty in Clinical Medicine (Sep 2023)

Emphysematous pyelitis: a case report

  • Ali Moradi,
  • Akram Sanagoo,
  • Maryam Abolghazi,
  • Karim Aqerkakli,
  • Fatemeh Mehravar,
  • Leila Jouybari

DOI
https://doi.org/10.22034/ncm.2023.407536.1099
Journal volume & issue
Vol. 2, no. 4
pp. 219 – 222

Abstract

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Background and Objectives: Emphysematous pyelitis is a relatively benign disease and according to our knowledge, it is not often reported in scientific literature and is rare. The aim of this study is to report a rare case of emphysematous pyelitis. Case report: A 51-year-old female patient from Golestan province came to the hospital with symptoms of fever, chills, weakness, and lethargy and side pain. The patient has a history of kidney stones, thyroid, grade 1 fatty liver, anemia and cardiovascular disease. A computed tomography (CT) scan was used to diagnose emphysema pyelitis and the patient was treated with antibiotics. The patient's symptoms improved after drug treatment and the abscess drainage was suggested. The patient was discharged from the hospital after the improvement of symptoms. After discharge, he was taking Litorex B (stone remover). The patient's kidneys produce urine and the operation was not done at the moment. Conclusion: The diagnosis of this patient was made by CT scan and he was treated with antibiotic therapy and suggested to drain the abscess. Reporting rare cases like Emphysematous pyelitis can increase the awareness of medical students. Research in the field of emphysema pyelitis can reduce the incidence and complications of this disease.

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