Fatal emphysematous pyelonephritis
Andersen, J.B.; Olsen, A.D.; Pedersen, H.M.
Ugeskrift for Laeger 154(20): 1432-1433
1992
ISSN/ISBN: 0041-5782 PMID: 1631972 Document Number: 392561
A man aged 46 years with diabetes mellitus was admitted with acute right-sided renal symptoms. Pyelonephritis emphysematous without concretions was found. The patient was treated with insulin, fluids, electrolytes and antibiotics and nephrostomy was performed and, subsequently, an internal JJ-catheter in the ureter. The symptoms disappeared and he was discharged on a low dosage of sulphamethizol. After the planned removal of the JJ-catheter, sepsis running a lethal course developed. This emphasizes the importance of adequate prophylactic antibiotic therapy in connection with interventions in the urinary tracts.