RESUMEN
Emphysematous pyelonephritis is a severe form of acute pyelonephritis, characterised by fever, abdominal pain, nausea and vomiting, associated with intraparenchymal and perirenal gas production. It is often diagnosed radiologically, by plain films of abdomen, ultrasonogram and/or CT scan and often needs surgical drainage. We report a case which could be diagnosed clinically because of extensive surgical emphysema in a diabetic patient which was successfully managed by a combined medical and surgical approach.
Asunto(s)
Antibacterianos/uso terapéutico , Terapia Combinada , Drenaje/métodos , Enfisema/complicaciones , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Nefrectomía/métodos , Pielonefritis/complicaciones , Índice de Severidad de la Enfermedad , Tomografía Computarizada por Rayos XRESUMEN
Local necrosis and gangrene at the site of the bite are commonly observed after snake envenomation. However, Raynaud's phenomenon and gangrene occurring in a limb other than that bitten by the snake is encountered rarely. So far, there is only one report of such an episode in literature. Here we are reporting a case of patient with snake bite on the right foot following which he developed Raynaud's phenomenon of the left upper limb and dry gangrene of the tips of the left index and middle fingers. The snake was identified as Russel's viper.