Emphysematous pyelonephitis in a solitary functioning kidney

A 52 year - old diabetic female patient preseted with severe sepsis and azotemia. Abdominal C-T disclosed the presence of a solitary left kidney, showing features of severe emphysematous pyelonephritis. Treatment included intensive anti-microbial therapy and hemodialysis, togther with percutaneous catheter drainage of the kidney. Patien's condition deteriorated rapidly and she died of severe sepsis with desseminated intravascular clotting. Discussion of the case highlights the importance of early diagnosis of emphysematous pyelonephritis and the value of timely surgical intervention