Bhat Riyaz Ahmad, Bashir Gulnaz, Wani Muzaffar, Lone Suhail
Department of General Medicine, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, India.
N Am J Med Sci. 2012 Aug;4(8):364-6. doi: 10.4103/1947-2714.99521.
Emphysematous pyelonephritis (EPN) a rare complication commonly seen in diabetic patients is a necrotising gas producing infection of the renal parenchyma and perinephric tissue predominantly caused by uropathogenic bacteria. Fungi have been rarely reported as the etiological agents, isolated from blood and/ or urine culture. We report a case of EPN caused by a rare etiological agent. A 60 year old diabetic female with no previous history of hospitalization presented to us with a short history of febrile illness associated with abdominal pain. Investigations revealed unilateral EPN "Wan type 1". Patient was treated with systemic antifungal therapy as per culture sensitivity and it alone proved to be an effective treatment of this clinically difficult condition. Patient was discharged in a satisfactory clinical condition. A rare etiology should always be kept in mind while evaluating a case of EPN.
气肿性肾盂肾炎（EPN）是糖尿病患者常见的一种罕见并发症，是一种主要由尿路致病性细菌引起的肾实质和肾周组织的坏死性产气感染。真菌作为病原体从血液和/或尿液培养物中分离出来的情况很少见。我们报告一例由罕见病原体引起的EPN病例。一名60岁无既往住院史的糖尿病女性因发热性疾病伴腹痛的短暂病史前来就诊。检查发现为单侧EPN“Wan 1型”。根据培养敏感性对患者进行全身抗真菌治疗，结果证明这一治疗方法对这种临床棘手的病症有效。患者出院时临床状况良好。在评估EPN病例时应始终考虑到罕见病因。
