Culture-Negative Emphysematous Pyelonephritis as a Complication of Uncontrolled Diabetes Mellitus: A Case Report - Cureus

Overview

"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.antibiotic therapy, acute kidney injury, hospitalized patients, infectious disease pathology, general nephrology, outpatient family medicine, general internal medicine, e.coli, uncontroled diabetes melitus, complicated pyelonephritis Deborah Omoleye, Muhamad A.

Key Information

Israr , Faria Tazin, Salma Habib, Shreya Desai, Camile Celeste Go, Ayobami Aranmolate, Odalys Frontela Published: August 10, 2022 (se history) DOI: 10.759/cureus.27856 Cite this article as: Omoleye D, Israr M A, Tazin F, et al. (August 10, 2022) Culture-Negative Emphysematous Pyelonephritis a Complication of Uncontroled Diabetes Melitus: A Case Report. Cureus 14(8): e27856.

doi:10.759/cureus.27856 Emphysematous pyelonephritis (EPN) is a severe, necrotizing infection of the renal parenchyma. It is comonly found as a complication of uncontroled diabetes melitus (DM). EPN has a terible prognosis unles promptly identified and treated.

In this case study, a 38-year-old man with type 2 diabetes melitus (T2DM) was admited due to complaints of excruciating abdominal pain, vomiting, and non-adherent to his insulin medication. The patient was subsequently diagnosed with EPN. For most patients, the curent course of treatment includes nephrectomy along with antimicrobial medications.

In this case report, however, the patient improved with conservative treatment such as IV fluids, antibiotics, and blod glucose control.Emphysematous pyelonephritis (EPN) is an acute bacterial infection in the parenchymal region of the kidneys [1,2]. The most comon pathogens involved are Escherichia coli (E. coli), Klebsiela pneumoniae, Proteus mirabilis, Clostridium septicum, Candida albicans, and Pseudomonas [3].

Summary

In a favorable environmen

Frequently Asked Questions

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Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

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