Concurrent Bilateral Emphysematous Pyelonephritis and Emphysematous Cystitis: A Case Report of Glomerulonephritis Severe Complication

Abstract

Michał Godzisz, Przemysław Mitura, Damian Widz, Damian Sudoł, Iga Kuliniec, Krzysztof Bar Department of Urology and Urologic Oncology, Medical University of Lublin, Lublin, PolandCorrespondence: Michał GodziszMedical University of Lublin, Jaczewskiego 8, 20-954 Lublin, 20-819, PolandTel +48660346267Email [email protected]: Emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC) are severe, necrotizing emphysematous urinary tract infections (EUTI) characterized by the presence of gas in the lumen and wall of the urinary tract and renal parenchyma. EUTIs are quite uncommon, but combination of bilateral EPN and EC is extremely rare. We report a case of 57-year-old diabetic female diagnosed with septic shock due to concurrent bilateral EPN and EC. Patient was successfully treated with a drainage of pelvicalyceal systems and the bladder combined with a conservative approach. This unique case presents a possible association between glomerulonephritis and EUTI.Keywords: emphysematous pyelonephritis, emphysematous cystitis, glomerulonephritis, diabetes, septic shock, urinary tract infection