Journal of Postgraduate Medicine
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Year : 2000  |  Volume : 46  |  Issue : 1  |  Page : 31-2

Emphysematous pyelonephritis: a rare presentation.

Department of Medicine, Dr. Ram Manohar Lohia Hospital, New Delhi - 110001, India., India

Correspondence Address:
S K Jain
Department of Medicine, Dr. Ram Manohar Lohia Hospital, New Delhi - 110001, India.
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Source of Support: None, Conflict of Interest: None

PMID: 0010855076

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Emphysematous pyelonephritis is a rare life threatening infection in diabetes characterised by suppurative infection of renal parenchyma and perirenal tissues. It usually presents with fever, nausea, vomiting, abdominal pain, shock, lethargy, and confusion. Diabetic ketoacidosis is an uncommon presentation. In the present case, an elderly female presented with abdominal pain, fever, vomiting, and altered sensorium. She was diagnosed to have diabetic ketoacidosis with metabolic encephalopathy with right emphysematous pyelonephritis. She had an excellent response to medical treatment alone and was later discharged on oral hypoglycaemic agents.


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Online since 12th February '04
2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow