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15. Successful Conservative Treatment of Emphysematous Pyelonephritis in a Diabetic Patient

1. Palwasha Gul 2. Zeenat Gul

1. PGR Diagnostic Radiology, Combined Military Hospital Quetta 2. PGR General Medicine, BMCH Quetta

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.

Key Words: Emphysematous pyelonephritis, nephrectomy.