Summary:
A case of emphysematous pyelonephritis is reported here. A
middle aged Bangladeshi lady presented with fever and left
loin pain. She had tachycardia, dehydration and left renal
angle tenderness. Investigations revealed diabetes mellitus,
left renal stone and left sided emphysematous pyelonephritis
complicated by acute kidney injury. She required
nephrectomy along with antibiotics. Emphysematous
pyelonephritis almost exclusively occurs in diabetic patients
and rarely emphysematous pyelonephritis may unmask
undetected diabetes as in the present case. Renal stone is also
recognized risk factor for emphysematous pyelonephritis.
Key words: diabetes mellitus, emphysematous pyelonephritis,
nephrectomy, renal stone.
(J Bangladesh Coll Phys Surg 2018; 36: 80-81)