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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2012  |  Volume : 23  |  Issue : 5  |  Page : 1046-1050
Emphysematous pyelonephritis in a patient infected with the human immunodeficiency virus


Department of Internal Medicine, Calicut Medical College, Thrissur, Kerala, India

Correspondence Address:
P A Mohamed Ashif
Department of Internal Medicine, Calicut Medical College, Thrissur, Kerala
India
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DOI: 10.4103/1319-2442.100948

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Emphysematous pyelonephritis (EPN) is a rapidly progressive and life-threatening infection that is seen most commonly in persons with diabetes. The infecting organisms usually consist of mixed flora, including Escherichia coli (68%), Klebsiella pneumoniae (9%) and Proteus mirabilis. Females are affected twice as often as men, and mortality rates can be as high as 80%. Obstructive uropathy, urinary calculi, calyceal stenosis and neoplasms are significant predis­posing factors. We report a case of EPN in a patient with the human immunodeficiency virus infection, without diabetes mellitus or urinary tract obstruction, which responded remarkably to conservative management with antibiotics alone.


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