Bilateral emphysematous pyelonephritis with a splenic abscess

Intern Med. 2013;52(1):147-50. doi: 10.2169/internalmedicine.52.8302. Epub 2013 Jan 1.

Abstract

The case of a 66-year-old woman with untreated diabetes mellitus who was admitted to our hospital with a fever, hypotension and an altered mental status is herein reported. Computed tomography revealed bilateral emphysematous pyelonephritis along with a splenic abscess. Blood and urine cultures grew Escherichia coli. Treatment with systemic antibiotics combined with the insertion of percutaneous and renoureteral catheters was successful. The patient was discharged and completed treatment without developing any subsequent complications.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / complications
  • Abdominal Abscess / diagnosis*
  • Abdominal Abscess / therapy
  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Combined Modality Therapy
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / diagnosis
  • Diabetes Mellitus, Type 2 / therapy
  • Drainage / methods
  • Emphysema / complications
  • Emphysema / diagnosis
  • Emphysema / therapy
  • Escherichia coli / isolation & purification
  • Escherichia coli Infections / complications
  • Escherichia coli Infections / diagnosis*
  • Escherichia coli Infections / therapy
  • Female
  • Follow-Up Studies
  • Humans
  • Pyelonephritis / complications
  • Pyelonephritis / diagnosis*
  • Pyelonephritis / therapy
  • Risk Assessment
  • Severity of Illness Index
  • Splenic Diseases / complications
  • Splenic Diseases / diagnosis*
  • Splenic Diseases / therapy
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents