AUTHOR=Yang Zheng , Li Zhihui 

TITLE=Sepsis caused by emphysematous pyelonephritis: A case report

JOURNAL=Frontiers in Medicine

VOLUME=Volume 9 - 2022

YEAR=2023

URL=https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2022.1038455

DOI=10.3389/fmed.2022.1038455

ISSN=2296-858X

ABSTRACT=Rationale: 
Emphysematous pyelonephritis (EPN) is a rare, life-threatening necrotizing renal parenchymal infection and is most commonly seen in patients with poor glycemic control. 

Patient concerns: 
We reported a case of a 64-year-old woman presented to the emergency room with fever and weakness over the last 1 days.

Diagnosis: 
After a series of diagnostic workup, the emphysematous pyelonephritis was diagnosed and presented with sepsis.

Intervention and outcome: 
She received conservative treatment with meropenem and symptomatic treatment and the symptoms improved significantly.

Lessons: 
EPN can be reliably diagnosed by non-contrast CT abdominal imaging.  The infection is most commonly caused by E. coli species and good curative effect can be got with early diagnosis and precise treatment