Emphysematous pyelonephritis is a rare, severe form of necrotising infection of the kidneys and peri-nephric tissues with gas accumulation, occurring predominantly among patients with diabetes mellitus. Computed tomography scan can identify the distribution of gas in the affected reno-ureteral units and so establish and classify the diagnosis. We report a case of class 4 emphysematous pyelonephritis with emphysematous cystitis, occurring in a young Bangladeshi male, who presented with features of upper urinary tract infection. He had a background history of fibro-calculous pancreatic diabetes and chronic kidney disease. Imaging also revealed renal stones. He responded to conservative treatment.
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SyedSAlrifaiT. Concurrent emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC) presenting with septic shock. BMJ Case Rep2019; 12: e229154–e229154.
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YeungAMHChengCHChuPSK, et al.A rare case of asymptomatic emphysematous pyelonephritis. Urol Case Rep2019; 26: 100962–100962.
