My Flanks Aches: Emphysematous Pyelonephritis in a Newly Diagnosed Case of Diabetes Mellitus

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dc.contributor.authorOkunowo, B.O
dc.contributor.authorOmidiji, O.A
dc.contributor.authorJeje, E.A
dc.contributor.authorFasanmade, O.A
dc.date.accessioned2020-01-20T09:23:24Z
dc.date.available2020-01-20T09:23:24Z
dc.date.issued2020
dc.descriptionStaff publicationsen_US
dc.description.abstractEmphysematous pyelonephritis (EPN) is a rare, severe necrotising infection of the renal parenchyma and surrounding tissues. It is usually life‐threatening and should be promptly treated. Here, we report a clinical case of a 54‐year‐old male who presented with the left flank pains of 3‐week duration. The flank pain was described as dull, constant with associated fever. He was diagnosed with diabetes mellitus (DM) while on admission. A clinical diagnosis of the left pyelonephritis was made. The abdominopelvic computed tomography scan confirmed bilateral EPN by showing a thin film of perinephric fluid (13.2 ml) in the left lower pole. He was managed conservatively with fluid therapy, adequate glycaemic control and intravenous antibiotics with no percutaneous drainage done. This highlights the importance of early initiation of appropriate medical treatment to avoid interventional urological procedures of nephrectomy. It also highlights the importance of clinical suspicion of EPN in patients presenting with symptoms of urinary tract infection and DM.en_US
dc.identifier.citationOkunowo BO, Omidiji OA, Jeje EA, Fasanmade OA. (2020). My flanks aches: Emphysematous pyelonephritis in a newly diagnosed case of diabetes mellitus. Niger Postgrad Med J ;27:59-62.en_US
dc.identifier.issn11171936
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/7460
dc.language.isoenen_US
dc.publisherMedknowen_US
dc.relation.ispartofseriesNiger Postgrad Med J;Vol.27
dc.subjectConservative managementen_US
dc.subjectDiabetes mellitusen_US
dc.subjectEmphysematous pyelonephritisen_US
dc.subjectFlank achesen_US
dc.subjectResearch Subject Categories::MEDICINEen_US
dc.titleMy Flanks Aches: Emphysematous Pyelonephritis in a Newly Diagnosed Case of Diabetes Mellitusen_US
dc.typeArticleen_US
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