Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review
Emphysematous pyelonephritis (EPN) is a rare but severe necrotizing infection often associated with diabetes, ureteral obstruction, and gas production in the renal parenchyma and perinephric area. This report describes a 54-year-old man with type 2 diabetes who presented with right lumbar pain and w...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-01-01
|
| Series: | Frontiers in Medicine |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2024.1512449/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841542719198986240 |
|---|---|
| author | Pan Gao Han Yang Han Yang Zhi Zhang |
| author_facet | Pan Gao Han Yang Han Yang Zhi Zhang |
| author_sort | Pan Gao |
| collection | DOAJ |
| description | Emphysematous pyelonephritis (EPN) is a rare but severe necrotizing infection often associated with diabetes, ureteral obstruction, and gas production in the renal parenchyma and perinephric area. This report describes a 54-year-old man with type 2 diabetes who presented with right lumbar pain and was diagnosed with EPN complicated by right ureteral calculi and perinephric gas accumulation. Despite initial improvement with fluid resuscitation, antibiotics, and drainage, inadequate blood glucose control led to a worsening of the infection, eventually involving the psoas major muscle and iliac vessels. This progression resulted in the formation of an iliac aneurysm, which required endovascular surgery. The patient’s recovery was supported by proper blood glucose management and targeted antibiotic therapy. This case highlights the importance of early recognition, appropriate management, and strict glycemic control in preventing severe complications of EPN. |
| format | Article |
| id | doaj-art-5800dcf3e52d494a8f336ee544b83aed |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-5800dcf3e52d494a8f336ee544b83aed2025-01-13T15:59:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.15124491512449Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and reviewPan Gao0Han Yang1Han Yang2Zhi Zhang3Department of Urology, Second People's Hospital of Yichang, Second People's Hospital of China Three Gorges University, Yichang, ChinaDepartment of Urology, Second People's Hospital of Yichang, Second People's Hospital of China Three Gorges University, Yichang, ChinaDepartment of Urology, The Affiliated Hospital of Qingdao University, Qingdao, ChinaDepartment of Urology, Second People's Hospital of Yichang, Second People's Hospital of China Three Gorges University, Yichang, ChinaEmphysematous pyelonephritis (EPN) is a rare but severe necrotizing infection often associated with diabetes, ureteral obstruction, and gas production in the renal parenchyma and perinephric area. This report describes a 54-year-old man with type 2 diabetes who presented with right lumbar pain and was diagnosed with EPN complicated by right ureteral calculi and perinephric gas accumulation. Despite initial improvement with fluid resuscitation, antibiotics, and drainage, inadequate blood glucose control led to a worsening of the infection, eventually involving the psoas major muscle and iliac vessels. This progression resulted in the formation of an iliac aneurysm, which required endovascular surgery. The patient’s recovery was supported by proper blood glucose management and targeted antibiotic therapy. This case highlights the importance of early recognition, appropriate management, and strict glycemic control in preventing severe complications of EPN.https://www.frontiersin.org/articles/10.3389/fmed.2024.1512449/fullemphysematous pyelonephritisdiabetesureteral calculianeurysmiliac aneurysm |
| spellingShingle | Pan Gao Han Yang Han Yang Zhi Zhang Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review Frontiers in Medicine emphysematous pyelonephritis diabetes ureteral calculi aneurysm iliac aneurysm |
| title | Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review |
| title_full | Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review |
| title_fullStr | Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review |
| title_full_unstemmed | Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review |
| title_short | Emphysematous pyelonephritis with rare and severe iliac vascular complications: a case report and review |
| title_sort | emphysematous pyelonephritis with rare and severe iliac vascular complications a case report and review |
| topic | emphysematous pyelonephritis diabetes ureteral calculi aneurysm iliac aneurysm |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2024.1512449/full |
| work_keys_str_mv | AT pangao emphysematouspyelonephritiswithrareandsevereiliacvascularcomplicationsacasereportandreview AT hanyang emphysematouspyelonephritiswithrareandsevereiliacvascularcomplicationsacasereportandreview AT hanyang emphysematouspyelonephritiswithrareandsevereiliacvascularcomplicationsacasereportandreview AT zhizhang emphysematouspyelonephritiswithrareandsevereiliacvascularcomplicationsacasereportandreview |