%0 Journal Article %T Pielonefritis Enfisematosa. Presentaci¨®n de un caso %A Ba£¿os Hern¨¢ndez %A Ihosvani %A Llera Clausel %A Teresa %A de Paula Paredes %A Analiz %J Revista de Ciencias M£¿£¿dicas de Pinar del R£¿-o %D 2011 %I Editorial Ciencias M¨¦dicas %X the lethal natural history of emphysematous pyelonephritis is described in a case of a female patient with diabetes records, deficient metabolic control and lumbar anthrax. despite performing an emergency nephrectomy and receiving a correct treatment in the intensive care unit, the patient did not recover from the septic shock and died. emphysematous pyelonephritis is a very rare disease, but highly lethal when present. it is necessary to learn about its risk factors, particularly, poor-treated diabetes mellitus to establish an early diagnosis and treatment. %K pyelonephritis [mortality] %K diabetes mellitus [diagnosis]. %U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1561-31942011000200028&lng=en&nrm=iso&tlng=en