Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2012  |  Volume : 23  |  Issue : 5  |  Page : 1046--1050

Emphysematous pyelonephritis in a patient infected with the human immunodeficiency virus


PA Mohamed Ashif, P Sandeep, PK Sasidharan 
 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

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.


How to cite this article:
Mohamed Ashif P A, Sandeep P, Sasidharan P K. Emphysematous pyelonephritis in a patient infected with the human immunodeficiency virus.Saudi J Kidney Dis Transpl 2012;23:1046-1050


How to cite this URL:
Mohamed Ashif P A, Sandeep P, Sasidharan P K. Emphysematous pyelonephritis in a patient infected with the human immunodeficiency virus. Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2020 Dec 4 ];23:1046-1050
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2012;volume=23;issue=5;spage=1046;epage=1050;aulast=Mohamed;type=0