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CASE REPORT
Year : 2008  |  Volume : 52  |  Issue : 6  |  Page : 840

Anaesthetic Management of Nephrectomy for Emphysematous Pyelonephritis


1 Consultant, Department of Anaesthesiology, Pain & Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi - 110 060, India
2 DNB Resident, Department of Anaesthesiology, Pain & Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi - 110 060, India
3 DNB Urology Resident, Department of Anaesthesiology, Pain & Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi - 110 060, India
4 Senior Consultant & Chairperson, Department of Anaesthesiology, Pain & Perioperative Medicine, Sir Ganga Ram Hospital, New Delhi - 110 060, India

Correspondence Address:
N Dua
Department of Anaesthesiology, Pain and Perioperative Medicine, Sir Ganga Ram Hospital, Sir Ganga Ram Hospital Marg, New Delhi - 110 060
India
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Source of Support: None, Conflict of Interest: None


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Emphysematous pyelonephritis (EPN) is a serious and often life threatening infection of the renal and perirenal tissues. The characteristic feature of this infection is the presence of gas within the kidney and perinephric tissues. The triad of symptoms of fever, flank pain and pyuria, especially in a diabetic female patient which did not respond promptly to conventional antibiotic therapy raised the possibility of EPN. CT scan established the diagnosis and the line of management. After failing medical management, uncontrolled frustrating hyperglycemia with fear of septice­mia, nephrectomy was done in life threatening fulminant infection of the kidney.


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