Tijdschrift voor Geneeskunde vol:66 issue:6 pages:292-295
Emphysema ... not only in the lungs
Emphysematous pyelonephritis (EPN) is a severe, necrotizing infection of the renal parenchyma, characterized by gas formation in the renal parenchyma or the surrounding tissues. The optimal strategy for handling is potentially life-threatening infection remains controversial. An aggressive surgical approach seems to be the treatment of choice in severe cases, whereas a more conservative treatment consisting of antibiotics either alone or in combination with percutaneous drainage, is proposed for less severe cases.
The medical history of a 54-year-old female patient with a severe form of EPN is reported. She was successfully treated with antibiotics alone, resulting in preservation of kidney function.