Emphysematous Pyelonephritis

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Abstract
Emphysematous pyelonephritis is a rare complication of urinary tract infection and generally occurs in patients with diabetes mellitus or urinary tract obstruction. An 81 yr old diabetic woman with Klebsiella pneumoniae urinary tract infection and septicemia, whose abdominal roentgenogram demonstrated a striking left pneumonephrogram and intraureteral and perirenal gas was treated. The patient died despite intensive therapeutic efforts. The prognosis for this severe necrotizing infection process is unfavorable.

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