• Ann Emerg Med · Jul 1988

    Case Reports

    Emphysematous pyelonephritis: an emergency indication for the plain abdominal radiograph.

    • L M Ouellet and M P Brook.
    • Department of Emergency Medicine, University of Southern California 90033.
    • Ann Emerg Med. 1988 Jul 1; 17 (7): 722-4.

    AbstractWe report the case of a 59-year-old diabetic woman with emphysematous pyelonephritis. The patient presented with nausea, vomiting, and right flank pain of three days duration. The diagnosis was established by a plain abdominal radiograph in the emergency department. Aggressive rehydration, control of diabetes, broad-spectrum antibiotic therapy, and early right nephrectomy resulted in rapid clinical improvement. Emphysematous pyelonephritis is rare and often fatal. Survival depends on early diagnosis and aggressive combined medical and surgical management.

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