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Coexistence of emphysematous cystitis and bilateral emphysematous pyelonephritis: a case report and review of the literature

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Abstract

Emphysematous pyelonephritis (EPN) is a necrotizing infection characterized by the production of gas in the renal parenchyma, collecting system or perirenal tissue. Meanwhile, emphysematous cystitis (EC) is a clinical entity characterized by the presence of gas inside and around the bladder wall. Interestingly, although both diseases are common in patients with diabetes mellitus, these are rarely combined. We report a rare case of a 56-year-old diabetic male suffering from fever, headache and vomiting and in which a diagnosis of septic shock was established due to coexistence of EC and bilateral EPN. The emphysematous diseases improved with a conservative treatment approach using antibiotic therapy and glycemic control, we highlight that the nephrectomy was not necessary in our patient despite the fact that he presented risk factors that predict the failure of conservative treatment.

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This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Nephrology, Hospital General Regional Hospital No 1, Instituto Mexicano del Seguro Social, Bosques de los Olivos No. 101. Av. La Goleta Mpo Charo, CP: 61301, Morelia, Michoacán, Mexico

    Venice Chávez-Valencia, Citlalli Orizaga-de-La-Cruz & Omar Aguilar-Bixano

  2. Department of Genetics and Molecular Biology, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (CINVESTAV), Mexico, Mexico

    Francisco Alejandro Lagunas-Rangel

Authors
  1. Venice Chávez-Valencia
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  2. Citlalli Orizaga-de-La-Cruz
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  3. Omar Aguilar-Bixano
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  4. Francisco Alejandro Lagunas-Rangel
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Correspondence to Venice Chávez-Valencia.

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Chávez-Valencia, V., Orizaga-de-La-Cruz, C., Aguilar-Bixano, O. et al. Coexistence of emphysematous cystitis and bilateral emphysematous pyelonephritis: a case report and review of the literature. CEN Case Rep 9, 313–317 (2020). https://doi.org/10.1007/s13730-020-00479-5

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  • DOI: https://doi.org/10.1007/s13730-020-00479-5

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