Successful conservative treatment of emphysematous pyelonephritis in a diabetic patient

ABSTRACT

Emphysematous pyelonephritis is an uncommon condition, with severe potentially fatal necrotizing pyelonephritis due to gas producing organisms [generally gram negative bacilli, esp. E. coli, proteus, pseudomonas, enterobacter and klebsiella].It occurs usually in elderly diabetics with poor glycemic control and frequently associated with ureteric obstruction. Though most of the patients still require nephrectomy albeit improvement in medical treatment, we present a case of successful conservative treatment of emphysematous pyelonephritis in a diabetic patient