Emphysematous pyelonephritis and cystitis in a patient with uremia and anuria: A case report and literature review
Emphysematous pyelonephritis (EPN) or cystitis (EC) is a severe infection of the urinary tract with high mortality. EPN is uncommon among the patients of end stage of renal failure (ESRD) CASE PRESENTATION:: A 38-year-old male with uremia and anuria who was on hemodialysis was found to have gas form...
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| Veröffentlicht in: | Medicine (Baltimore) 2018-11, Vol.97 (45), p.e11272-e11272 |
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| container_issue | 45 |
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| container_title | Medicine (Baltimore) |
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| creator | Wang, Qiang Sun, Meifeng Ma, Chengjun Lv, Hailin Lu, Peng Wang, Qi Liu, Guangyi Hu, Zhao Gao, Yanxia |
| description | Emphysematous pyelonephritis (EPN) or cystitis (EC) is a severe infection of the urinary tract with high mortality. EPN is uncommon among the patients of end stage of renal failure (ESRD) CASE PRESENTATION:: A 38-year-old male with uremia and anuria who was on hemodialysis was found to have gas formation in the bilateral pelvis, ureters, and urinary bladder by CT scan. The diagnosis was emphysematous pyelonephritis and cystitis. And Foley catheter was placed and bladder irrigation was performed. Escherichia coli infection was identified in urine culture and antibiotic was prescribed accordingly. Gas disappeared completely and the patient recovered uneventfully.
This is the first case report of asymptomatic EPN and EC in uremic patient, and conservative management was optimistic in this condition. More attention should be paid to EPN and EC happening to ESRD patients. |
| doi_str_mv | 10.1097/MD.0000000000011272 |
| format | Article |
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This is the first case report of asymptomatic EPN and EC in uremic patient, and conservative management was optimistic in this condition. More attention should be paid to EPN and EC happening to ESRD patients.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000011272</identifier><identifier>PMID: 30407278</identifier><language>eng</language><publisher>United States: the Author(s). Published by Wolters Kluwer Health, Inc</publisher><subject>Adult ; Anuria - complications ; Anuria - therapy ; Clinical Case Report ; Conservative Treatment ; Cystitis - etiology ; Cystitis - therapy ; Emphysema - etiology ; Emphysema - therapy ; Escherichia coli Infections - complications ; Escherichia coli Infections - drug therapy ; Humans ; Male ; Pyelonephritis - etiology ; Renal Dialysis - adverse effects ; Uremia - complications ; Uremia - therapy</subject><ispartof>Medicine (Baltimore), 2018-11, Vol.97 (45), p.e11272-e11272</ispartof><rights>the Author(s). Published by Wolters Kluwer Health, Inc.</rights><rights>Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3551-b69f599d82ed2cf615419fb276cbf49ce661e017e29422ce62f2442b15e54673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250534/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250534/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30407278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Qiang</creatorcontrib><creatorcontrib>Sun, Meifeng</creatorcontrib><creatorcontrib>Ma, Chengjun</creatorcontrib><creatorcontrib>Lv, Hailin</creatorcontrib><creatorcontrib>Lu, Peng</creatorcontrib><creatorcontrib>Wang, Qi</creatorcontrib><creatorcontrib>Liu, Guangyi</creatorcontrib><creatorcontrib>Hu, Zhao</creatorcontrib><creatorcontrib>Gao, Yanxia</creatorcontrib><title>Emphysematous pyelonephritis and cystitis in a patient with uremia and anuria: A case report and literature review</title><title>Medicine (Baltimore)</title><addtitle>Medicine (Baltimore)</addtitle><description>Emphysematous pyelonephritis (EPN) or cystitis (EC) is a severe infection of the urinary tract with high mortality. EPN is uncommon among the patients of end stage of renal failure (ESRD) CASE PRESENTATION:: A 38-year-old male with uremia and anuria who was on hemodialysis was found to have gas formation in the bilateral pelvis, ureters, and urinary bladder by CT scan. The diagnosis was emphysematous pyelonephritis and cystitis. And Foley catheter was placed and bladder irrigation was performed. Escherichia coli infection was identified in urine culture and antibiotic was prescribed accordingly. Gas disappeared completely and the patient recovered uneventfully.
This is the first case report of asymptomatic EPN and EC in uremic patient, and conservative management was optimistic in this condition. More attention should be paid to EPN and EC happening to ESRD patients.</description><subject>Adult</subject><subject>Anuria - complications</subject><subject>Anuria - therapy</subject><subject>Clinical Case Report</subject><subject>Conservative Treatment</subject><subject>Cystitis - etiology</subject><subject>Cystitis - therapy</subject><subject>Emphysema - etiology</subject><subject>Emphysema - therapy</subject><subject>Escherichia coli Infections - complications</subject><subject>Escherichia coli Infections - drug therapy</subject><subject>Humans</subject><subject>Male</subject><subject>Pyelonephritis - etiology</subject><subject>Renal Dialysis - adverse effects</subject><subject>Uremia - complications</subject><subject>Uremia - therapy</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhq0KRJfCL0BCPnJJscd2HHNAqtoClVpx6d1yspPGkC9sp6v99zXZUii-WDPzzDujeQl5x9kpZ0Z_vLk4ZX8f56DhiGy4EmWhTClfkA1joApttDwmr2P8kSGhQb4ix4JJpkFXGxIuh7nbRxxcmpZI5z3204hzF3zykbpxS5t9TGvgR-ro7JLHMdGdTx1dAg7erZQbl-DdJ3pGGxeRBpynkNZK7xMGlzKbs_ced2_Iy9b1Ed8-_ifk9svl7fm34vr716vzs-uiEUrxoi5Nq4zZVoBbaNqSK8lNW4Mum7qVpsGy5Mi4RjASIIfQgpRQc4VKllqckM8H2XmpB9w2eevgejsHP7iwt5Pz9nll9J29m-5tCYopIbPAh0eBMP1aMCY7-Nhg37sR860scMFBVFpXGRUHtAlTjAHbpzGc2d9m2ZsL-79Zuev9vxs-9fxxJwPyAOymPh8x_uyXHQbboetTt-opbaAAxiuep7Bi1RYPygmhXA</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Wang, Qiang</creator><creator>Sun, Meifeng</creator><creator>Ma, Chengjun</creator><creator>Lv, Hailin</creator><creator>Lu, Peng</creator><creator>Wang, Qi</creator><creator>Liu, Guangyi</creator><creator>Hu, Zhao</creator><creator>Gao, Yanxia</creator><general>the Author(s). Published by Wolters Kluwer Health, Inc</general><general>Wolters Kluwer Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181101</creationdate><title>Emphysematous pyelonephritis and cystitis in a patient with uremia and anuria: A case report and literature review</title><author>Wang, Qiang ; Sun, Meifeng ; Ma, Chengjun ; Lv, Hailin ; Lu, Peng ; Wang, Qi ; Liu, Guangyi ; Hu, Zhao ; Gao, Yanxia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3551-b69f599d82ed2cf615419fb276cbf49ce661e017e29422ce62f2442b15e54673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Anuria - complications</topic><topic>Anuria - therapy</topic><topic>Clinical Case Report</topic><topic>Conservative Treatment</topic><topic>Cystitis - etiology</topic><topic>Cystitis - therapy</topic><topic>Emphysema - etiology</topic><topic>Emphysema - therapy</topic><topic>Escherichia coli Infections - complications</topic><topic>Escherichia coli Infections - drug therapy</topic><topic>Humans</topic><topic>Male</topic><topic>Pyelonephritis - etiology</topic><topic>Renal Dialysis - adverse effects</topic><topic>Uremia - complications</topic><topic>Uremia - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Qiang</creatorcontrib><creatorcontrib>Sun, Meifeng</creatorcontrib><creatorcontrib>Ma, Chengjun</creatorcontrib><creatorcontrib>Lv, Hailin</creatorcontrib><creatorcontrib>Lu, Peng</creatorcontrib><creatorcontrib>Wang, Qi</creatorcontrib><creatorcontrib>Liu, Guangyi</creatorcontrib><creatorcontrib>Hu, Zhao</creatorcontrib><creatorcontrib>Gao, Yanxia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medicine (Baltimore)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Qiang</au><au>Sun, Meifeng</au><au>Ma, Chengjun</au><au>Lv, Hailin</au><au>Lu, Peng</au><au>Wang, Qi</au><au>Liu, Guangyi</au><au>Hu, Zhao</au><au>Gao, Yanxia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emphysematous pyelonephritis and cystitis in a patient with uremia and anuria: A case report and literature review</atitle><jtitle>Medicine (Baltimore)</jtitle><addtitle>Medicine (Baltimore)</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>97</volume><issue>45</issue><spage>e11272</spage><epage>e11272</epage><pages>e11272-e11272</pages><issn>0025-7974</issn><eissn>1536-5964</eissn><abstract>Emphysematous pyelonephritis (EPN) or cystitis (EC) is a severe infection of the urinary tract with high mortality. EPN is uncommon among the patients of end stage of renal failure (ESRD) CASE PRESENTATION:: A 38-year-old male with uremia and anuria who was on hemodialysis was found to have gas formation in the bilateral pelvis, ureters, and urinary bladder by CT scan. The diagnosis was emphysematous pyelonephritis and cystitis. And Foley catheter was placed and bladder irrigation was performed. Escherichia coli infection was identified in urine culture and antibiotic was prescribed accordingly. Gas disappeared completely and the patient recovered uneventfully.
This is the first case report of asymptomatic EPN and EC in uremic patient, and conservative management was optimistic in this condition. More attention should be paid to EPN and EC happening to ESRD patients.</abstract><cop>United States</cop><pub>the Author(s). Published by Wolters Kluwer Health, Inc</pub><pmid>30407278</pmid><doi>10.1097/MD.0000000000011272</doi><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Wolters Kluwer Open Health; IngentaConnect Free/Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Anuria - complications Anuria - therapy Clinical Case Report Conservative Treatment Cystitis - etiology Cystitis - therapy Emphysema - etiology Emphysema - therapy Escherichia coli Infections - complications Escherichia coli Infections - drug therapy Humans Male Pyelonephritis - etiology Renal Dialysis - adverse effects Uremia - complications Uremia - therapy |
| title | Emphysematous pyelonephritis and cystitis in a patient with uremia and anuria: A case report and literature review |
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