Case Report: Massive emphysematous pyelonephritis with short-term relapse.

ABSTRACT:

Background

Emphysematous pyelonephritis (EPN) is a rare but aggressive infectious disease that lacks specificity in its early stages and tends to progress to life-threatening septic shock in a short period of time. Its diagnosis is based on imaging tests, and treatment requires a combination of staging and risk factors.

Case presentation

We report a case of emphysematous pyelonephritis in a patient with massive emphysema of the left kidney (the longest diameter up to 51 mm) on CT. After multidisciplinary consultation, the patient underwent CT-guided percutaneous drainage combined with targeted antibiotic therapy, and was discharged from the hospital with improvement of the condition. However, relapse of symptoms occurred after 1 day of discharge from the hospital, prompting

SUBMITTER: Jiang T 

PROVIDER: S-EPMC12580336 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature