Online Images in the Medical Sciences| Volume 364, ISSUE 2, e25, August 2022

Emphysematous pyelonephritis

      A 70-year-old female with poorly controlled diabetes mellitus was admitted to the emergency department. She had a complaint of syncope, fever, general malaise, dysuria, and abdominal pain for 20 days. The patient's body temperature was 38.9 °C. Percussion in the right flank region elicited pain. Her laboratory tests were significant for the following: white cell count, 24.37 109 /L, with 92% segmented neutrophils; glucose, 18.80 mmol/L; glycosylated hemoglobin, 11.3%; blood urea nitrogen, 38 mmol/L; creatinine, 530 μmol/L. C-reactive protein, 176.4 mg/L.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to The American Journal of the Medical Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Dutta P.
        • Bhansali A.
        • Singh S.K.
        • et al.
        Presentation and outcome of emphysematous renal tract disease in patients with diabetes mellitus.
        Urol Int. 2007; 78: 13-22
        • Li S.
        • Wang J.
        • Hu J.
        • et al.
        Emphysematous pyelonephritis and cystitis: a case report and literature review.
        J Int Med Res. 2018; 46: 2954-2960