https://doi.org/10.4081/ecj.2021.9847
A case of hematuria and vomiting in the emergency room: Never forget the emphysematous pyelonephritis
Submitted: 11 May 2021
Accepted: 16 August 2021
Published: 21 September 2021
Accepted: 16 August 2021
Abstract Views: 659
PDF: 274
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
We describe the case of a 68-year-old man with a known history of hypertension and diabetes mellitus presented to our Emergency Department, complaining of hematuria and vomiting in the last 12 hours, stypsis and urinary incontinence in the last week, and worsening hyporexia in the last 6 months. Bedside ultrasound documented a slight right pleural effusion with B lines in the middle and basal right field, gastrectasis, dilated fluid-filled bowel loops, potential signs of gas in the upper right quadrant, grade 3 bilateral hydronephrosis, and bladder globe. Abdominal CT scan confirmed the bilateral hydroureteronephrosis and showed the right kidney with Emphysematous Pyelonephritis (EPN) with extension into the perinephric and muscular planes for 24 cm, and initial EPN in the left kidney. A RT-PCR nasopharyngeal swab for SARS CoV-2 was negative. A diagnosis of ileum paretic, acute renal failure and urosepsis due to EPN was made.
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How to Cite
Poggiali, E., Tansini, F. ., Christodoulakis, K., Giovini, M., Magnacavallo, A., & Vercelli, A. (2021). A case of hematuria and vomiting in the emergency room: Never forget the emphysematous pyelonephritis. Emergency Care Journal, 17(3). https://doi.org/10.4081/ecj.2021.9847
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