International Urology and Nephrology

, Volume 46, Issue 1, pp 223–227 | Cite as

Medical therapy alone can be sufficient for bilateral emphysematous pyelonephritis: report of a new case and review of previous experiences

  • Mohammad Shafi Kuchay
  • Bashir Ahmad Laway
  • Manzoor Ahmad Bhat
  • Shahnaz Ahmad Mir
Nephrology - Case report


Bilateral emphysematous pyelonephritis (EPN) is an extremely uncommon, life-threatening gas-forming infection of renal parenchyma and its surrounding areas. Surgical treatment, including percutaneous catheter drainage and nephrectomy, has been advocated as the treatment of choice in most of the patients. However, nephrectomy is itself a hazardous intervention in an unstable septic patient. Whenever bilateral disease is present, the need for long-term renal replacement therapy is unavoidable. We present the clinical course of a lady who presented with bilateral EPN and was successfully managed by medical therapy alone. We also reviewed almost all published cases of bilateral EPN that had been managed medically.


Bilateral emphysematous pyelonephritis Gas-forming infection Medical management 


Conflict of interest

No conflict of interests.


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Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Mohammad Shafi Kuchay
    • 1
  • Bashir Ahmad Laway
    • 1
  • Manzoor Ahmad Bhat
    • 1
  • Shahnaz Ahmad Mir
    • 1
  1. 1.Department of EndocrinologySher-I-Kashmir Institute of Medical SciencesSrinagarIndia

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