Tzu Chi Medical Journal
Volume 19, Issue 4 , Pages 249-252, December 2007

Salmonella Emphysematous Pyelonephritis in a Nondiabetic and Non-Obstructive End-Stage Renal Disease Patient

  • Jen-Pi Tsai

      Affiliations

    • Division of Nephrology, Buddhist Dalin Tzu Chi General Hospital, Chiayi, Taiwan
    • ,
  • Te-Chao Fang

      Affiliations

    • Division of Nephrology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Department of Medicine, College of Medicine, Tzu Chi University, Hualien, Taiwan
    • Corresponding Author InformationCorresponding author. Division of Nephrology, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung-Yang Road, Hualien, Taiwan
    • ,
  • Chih-Hsien Wang

      Affiliations

    • Division of Nephrology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • ,
  • Bang-Gee Hsu

      Affiliations

    • Division of Nephrology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
    • Department of Medicine, College of Medicine, Tzu Chi University, Hualien, Taiwan

Received 17 April 2007; received in revised form 15 May 2007; accepted 27 June 2007.

Article Outline

Abstract 

Emphysematous pyelonephritis (EPN) is a rare, severe, and gas-forming infection of the kidney. EPN is common in patients with diabetes mellitus and/or urinary tract obstruction. EPN rarely occurs in patients with end-stage renal disease, and is rarely caused by non-typhoidal Salmonella. This is a case report of end-stage renal disease in a 28-year-old woman who refused regular hemodialysis. She presented with fever, abdominal pain and right flank pain. Unenhanced computed tomography showed air within the right kidney. Salmonella group D was isolated from the drainage. The patient was successfully treated with antibiotics and percutaneous catheter drainage. To our knowledge, this is the first case report in the literature of EPN caused by Salmonella in a patient with end-stage renal disease who did not have diabetes mellitus or urinary tract obstruction.

keywords:  Emphysematous pyelonephritis , End-stage renal disease , Salmonella

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PII: S1016-3190(10)60024-9

doi:10.1016/S1016-3190(10)60024-9

Tzu Chi Medical Journal
Volume 19, Issue 4 , Pages 249-252, December 2007

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