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Journal of Postgraduate Medicine
Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India
ISSN: 0022-3859 EISSN: 0022-3859
Vol. 46, No. 1, 2000, pp. 31-32
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Bioline Code: jp00009
Full paper language: English
Document type: Research Article
Document available free of charge
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Journal of Postgraduate Medicine, Vol. 46, No. 1, 2000, pp. 31-32
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Case Report - Emphysematous Pyelonephritis: A Rare Presentation
Jain SK, Agarwal N, Chaturvedi SK
Abstract
Emphysematous pyelonephritis is a rare life threatening infection in diabetes characterised by suppurative infection of renal parenchyma and perirenal tissues. It usually presents with fever, nausea, vomiting, abdominal pain, shock, lethargy, and confusion. Diabetic ketoacidosis is an uncommon presentation. In the present case, an elderly female presented with abdominal pain, fever, vomiting, and altered sensorium. She was diagnosed to have diabetic ketoacidosis with metabolic encephalopathy with right emphysematous pyelonephritis. She had an excellent response to medical treatment alone and was later discharged on oral hypoglycaemic agents.
Keywords
Diabetes, Ketoacidosis, Metabolic Encephalopathy, Pyelonephritis, Emphysematous
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