Emphysematous Pyelonephritis in Two Cases at Two Different Stages: Early and Late

Aslan Demir, Kursat Cecen, Mert Ali Karadag, Eray Atalay, Mehmet Uslu, Omer Erkam Arslan


Emphysematous pyelonephritis (EPN) has been defined as a necrotizing infection of the renal parenchyma and its surrounding areas that result in the presence of gas in the renal parenchyma, collecting system or perinephric tissue. The final diagnosis mostly depends on the radiological findings since clinical and biochemical findings of the EPN can be different from case to case. The diseases can be seen not only in diabetic patients but also occasionally in patients without diabetes mellitus with obstruction of the the urinary system. In this article, we discussed the EPN based on two patients at the two different stages, late and early, respectively.

J Med Cases. 2014;5(6):357-361
doi: http://dx.doi.org/10.14740/jmc1799w


Emphysematous pyelonephritis; Nephrectomy; Clinical stages; Medical treatment

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