Emphysematous Pyelonephritis in Cancer Patients: A Case Report With a Literature Review

被引：1

作者：

Singh, Karandeep ^{[1
]}

Greene, John ^{[2
]}

机构：

[1] Govt Med Coll Amritsar, Internal Med, Amritsar, India

[2] H Lee Moffitt Canc Ctr & Res Inst, Infect Dis, Tampa, FL 33612 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 07期

关键词：

e; coli; diabetes mellitus; cancer; klebsiella; emphysematous pyelonephritis; MANAGEMENT; MORTALITY;

D O I：

10.7759/cureus.65000

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Emphysematous pyelonephritis (EPN) is a severe necrotising infection of the renal parenchyma which is rarely reported in cancer patients. We present a case of a 92-year-old man with urothelial carcinoma of the bladder who developed EPN after resection of the tumour. Septic shock developed and blood cultures grew extended-spectrum beta-lactamase (ESBL) Escherichia coli. Because of renal function decline with hematuria a non-contrast CT scan of the abdomen showed gas in the kidney and surrounding area consistent with EPN. After receiving appropriate antibiotics according to susceptibility testing, EPN was resolved based on a follow-up CT scan of the abdomen without requiring further surgical intervention. We review the literature and discuss the management of EPN in cancer patients.

引用

页数：7

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