Emphysematous Pyelonephritis Treated with CSE-1034: Case Report and Review of the Literature
Anand Dharaskar *
Consultant Urology and Renal Transplantation, Aditya Birla Memorial Hospital, Pune, India
*Author to whom correspondence should be addressed.
Abstract
Background & Aim: Emphysematous pyelonephritis (EPN) is an acute necrotizing infection of upper urinary tract characterized by the presence of gas in renal parenchyma and peri-renal tissue. We report a case of diabetes mellitus with renal calculi who was diagnosed with EPN due to E. coli. Early recognition of the infection prompted the management of patients with aggressive medical management.
Results: The patient was successfully treated with intravenous antibiotic CSE-1034 (Ceftriaxone/Sulbactam/EDTA) in combination with DJ stenting.
Conclusion: Conclusively, this case report emphasizes that early diagnosis and appropriate therapeutical management which includes CSE-1034 in this case is a key to good prognosis in EPN.
Keywords: Diabetes, emphysematous pyelonephritis, ceftriaxone/sulbactam/EDTA