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A 51-year-old male with diabetes presented with 2 weeks of general malaise and fever. What is the diagnosis? Small bowel obstruction Emphysematous pyelonephritis Paralytic ileus Renocolic fistula Splenic abscess
Its emphysematous pyelonephritis it s a severe infection of renal parenchyma which causes gas accumulation in tissues which is most commonly seen in patients with diabetes mellitus and its also most commonly seen in women...
The correct answer is emphysematous pyelonephritis. On presentation, the patient had acute kidney injury and leukocytosis, and subsequently was found to have Escherichia coli bacteremia. Abdominal computed tomography further revealed gas in the renal parenchyma and perinephric space. The greatest risk factors for development of emphysematous pyelonephritis are poorly controlled diabetes mellitus and ureteric obstruction. The patient improved with antibiotics.
