Emphisematous pyelonephritis is a rare, life–-threatening infection of the renal parenchyma, most frequently found in diabetic patients. It is due to gas forming bacteria such as E. Coli, Kleibsiella or Citrobacter and is linked with an hight mortality rate sometime also after an appropiate therapy. We describe our experience with a case of emphisematous pyelonephritis in an old diabetic female.
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