Harandou M, Khatouf M, Bouhafa T, Kanjaa N, Leclercq G, Lapostolle F
Service de réanimation chirurgicale, hôpital Al-Ghassani, Fès, Morocco.
Ann Fr Anesth Reanim. 2005 May;24(5):556-8. doi: 10.1016/j.annfar.2005.01.017. Epub 2005 Apr 15.
Emphysematous pyelonephritis is a necrotizing renal infection characterized by bacterial gas production in the renal and perirenal area. It is a rare infection diagnosed in diabetic patients in most cases. Emphysematous pyelonephritis is responsible for a high mortality rate. We report the case of a woman, unknown diabetic, who presented with emphysematous pyelonephritis. Early diagnosis performed by CT-scan allowed effective and conservative surgical treatment and final positive outcome.