Emphysematous Pyelonephritis
Journal Title: Indian Journal of Emergency Medicine - Year 2017, Vol 3, Issue 1
Abstract
Emphysematous pyelonephritis (EPN) is a rare, severe gas-forming infection of renal parenchyma, Perirenal tissue and its surrounding areas. We report a case of diabetes mellitus that presented to the emergency department with abdominal pain, increase urine frequency and unable to pass stool after a trivial ground level fall, was diagnosed as perforation peritonitis. Early recognition in the emergency department prompted aggressive medical management followed by perinephric drainage and DJ Stenting due to which patient was successfully treated. Early diagnosis and management is a key to the prognosis in emphysematous pyelonephritis.
Authors and Affiliations
Arunil Gupta
Clinical Presentation of Renal Injury at a Tertiary Care Hospital
Introduction: AKI occurs predominantly in urban intensive care units and is associated with multiorgan failure and sepsis, high mortality, and occurrence in older populations. While cases of AKI in urban areas of the dev...
A Case of Infant with Factor VII Deficiency Presenting as ICH
ICH can be spontaneous or traumatic. the most common cause of ICH in adults is trauma(road traffic accident or fall from height) and CVA. In neonates and infants ICH is caused by trauma associated with labor and delivery...
Retrospective Analysis of Continuous EEG in Spontaneous Intracerebral Hemorrhage: A Study from Central India
Background: Intracerebral hemorrhage (ICH) is a neurological emergency and it is the most severe form of acute stroke, accounting for 15–25% of all strokes, and 50% of stroke mortality [1,2]. The intracerebral hemorrhage...
Spiked Helmet Sign: A Dreadful Pattern in ECG
Electrocardiogram has been one of the oldest diagnostic modality for myocardial infarction. In last five years, pseudo ST elevation in critically ill patients in the form of “spiked helmet sign” has been studied [1-6]. S...
Reactive Hypoglycaemia of Pre-Diabetes: A Diagnostic Delima
Reactive hypoglycemia, postprandial hypoglycemia, or sugar crash is characterized by recurrent episodes of symptomatic hypoglycemia occurring within 4 hour after a high carbohydrate meal. The frequent sampling of postpra...