Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Bilateral Emphysematous Pyelonephritis with a Splenic Abscess
Hiroshi MoriokaNaoki YanagisawaAkihiko SuganumaAkifumi ImamuraAtsushi Ajisawa
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JOURNAL OPEN ACCESS

2013 Volume 52 Issue 1 Pages 147-150

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Abstract

The case of a 66-year-old woman with untreated diabetes mellitus who was admitted to our hospital with a fever, hypotension and an altered mental status is herein reported. Computed tomography revealed bilateral emphysematous pyelonephritis along with a splenic abscess. Blood and urine cultures grew Escherichia coli. Treatment with systemic antibiotics combined with the insertion of percutaneous and renoureteral catheters was successful. The patient was discharged and completed treatment without developing any subsequent complications.

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© 2013 by The Japanese Society of Internal Medicine
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