Introduction: Emphysematous pyelonephritis (EPN) is a severe,
life-threatening infection of the renal parenchyma. This condition is
characterized by the production of intrarenal and perinephric gas. In the
world, the EPN is currently limited to case series reported. No cases have been
described in black Africa.Aims:
Related a first case of EPN diagnosed and treated in the University Hospital
Center Sylvanus Olympio of Lomé in Togo. Observation:
A 40 yearsoldwoman,with antecedent of diabetespresentedpyelonephritisemphysematousclass2. She wastreated successfullywithantibioticalonewithoutusingpercutaneousdrainageornephrectomy.Conclusion: As
reported in every case series, it was a young diabetic patient with a clinical
features of acute pyelonephritis which CT scan had helped lay the EPN class 2
References
[1]
Divish, S., Lalit, A., Sanjeev, K.T. and Shaji, T. (2013) Emphysematous Pyelonephritis—A Rare Surgical Emergency Presenting to the Physician: A Case Report and Literature. Indian Journal of Surgery, 75, S272-S274. http://dx.doi.org/10.1007/s12262-012-0690-6
[2]
Tseng, C.C., Wu, J.J., Wang, M.C., et al. (2005) Host and Bacterial Virulence Factors Predisposing to Emphysematous Pyelonephritis. AJKD, 46, 432-439. http://dx.doi.org/10.1053/j.ajkd.2005.05.019
[3]
Shioeir, A.A., El Azab, S.M. and El Diasty, T. (1997) Emphysematous Pyelonephritis: A 15 Years Experience with 20 Cases. Urology, 49, 343-346. http://dx.doi.org/10.1016/S0090-4295(96)00501-8
[4]
Michaeli, J., Mdgl, P., Perlberg, S., Heine, S. and Caine, M. (1984) Emphysematous Pyelonephritis. The Journal of Urology, 131, 2113-2118.
[5]
Lu, Y.C., Hong, J.H., Chiang, B.J., Pong, Y.H., Hsueh, P.R., Huang, C.Y. and Pu, Y.S. (2016) Recommended Initial Antimicrobial Therapy for Emphysematous Pyelonephritis: 51 Cases and 14-Year-Experience of a Tertiary Referral Center. Medicine (Baltimore), 95, e3573. http://dx.doi.org/10.1097/MD.0000000000003573
[6]
Kelly, H. and MacCallum, W. (1898) Pneumaturia. JAMA, 31, 3753-81. http://dx.doi.org/10.1001/jama.1898.92450080001001
[7]
Pontin, A.R. and Barnes, R.D. (2009) Current Management of Emphysematous Pyelonephritis. Nature Reviews Urology, 6, 272-279. http://dx.doi.org/10.1038/nrurol.2009.51
[8]
Huang, J.J. and Tseng, C.C. (2000) Emphysematous Pyelonephritis: Clinicoradiological Classification, Management, Prognosis, and Pathogenesis. Archives of Internal Medicine, 160, 797-805. http://dx.doi.org/10.1001/archinte.160.6.797
[9]
Angulo, J.C., Dehaini, A., Escribaano, J. and Sanchez, M. (1997) Successful Conservative Management of Emphysematous Pyelonephritis Bilateral or in a Solitary Kidney. Scandinavian Journal of Urology and Nephrology, 31, 193-197. http://dx.doi.org/10.3109/00365599709070329
[10]
Bensalah, J., Chadli, A., Abnousoufyane, N., Ababou, M.R. and Ousehal, A. (2000) Emphysematous Pyelonephritis in Diabetics. Maghreb Medical, 20, 352-358.
[11]
Derouiche, A., Ouni, A., Agreni, A., Slama, A., Ben Slama, M.R. and Chebil, M. (2008) The Management of Emphysematous Pyelonephritis: About 21 Cases. The Journal of Urology, 39, 49-56.
[12]
Ahlering, T.E., Boyd, S.D., Hamilton, C.L., Bragin, S.D., Chanrasoma, P.T., Lieskoovsky, G. and Skinner, D.G. (1985) Emphysematous Pyelonephritis: A 5-Year Experience with 13 Patients. The Journal of Urology, 13, 1086-1088.
[13]
Kaiser, E. and Fournier, R. (2005) Emphysematous Pyelonephritis: Diagnosis and Treatment. Annals of Urology, 39, 49-60.
[14]
Chauhan, V. and Sharma, R. (2015) Emphysematous Pyelonephritis (Class IIIa) Managed with Antibiotics Alone. Hong Kong Medical Journal, 21, 363-365. http://dx.doi.org/10.12809/hkmj144301