Case Report
Year: 2014 | Month: January | Volume: 4 | Issue: 1 | Pages: 198-202
Emphysematous Pyelonephritis with Diabetic Nephropathy: A Rare Case Report
Bhale CP1, Vare Anil A2, Khan Talat3*, Irmeen Manzoor3, Smita Mulay4
1Professor, 2Associate Professor, 3Senior Resident,4Head of Department,
Department of Pathology, MGM Medical College, Aurangabad, Maharashtra.
*Corresponding Author: Khan Talat
ABSTRACT
Emphysematous pyelonephritis is a severe, uncommon, potentially fatal necrotizing pyelonephritis with a variable clinical presentation, ranging from mild abdominal pain to septic shock. The majority of cases occur in diabetics with poor glycemic control while a small percentage may be due to urinary tract obstruction. We present a case of a 57 year old male patient, diabetic on treatment, presenting with left flank pain and poor stream of urine since one week. Laboratory tests revealed that the patient had electrolyte imbalance, ketoacidosis and high blood sugar. Radiological examination gave a diagnosis of Left Type 1 Emphysematous Pyelonephritis. In spite of giving vigorous resuscitation and antibiotics with nephrostomy, the patient had to undergo nephrectomy due to extensive renal parenchymal destruction. The nephrectomy specimen was studied in detail to know the histopathological findings in a case of diabetic patient with emphysematous pyelonephritis. We present this case not only because of it being a rare complication of diabetes as well rarely seen in male but also to focus on the histopathological findings of the same, documentation of which is limited in literature.
Key words: Emphysematous Pyelonephritis, Diabetic Nephropathy, Hyperglycemia.