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Year : 2013  |  Volume : 23  |  Issue : 3  |  Page : 229-231

Successful conservative treatment of bilateral emphysematous pyelonephritis in autosomal dominant polycystic kidney disease

Department of Nephrology and Renal Transplantation, Assured Best Care Hospitals, Trichy, Tamil Nadu, India

Correspondence Address:
K Jaisuresh
Department of Nephrology and Renal Transplantation, Assured Best Care Hospitals, No.1, Malligai Salai, Annamalai Nagar, Trichy, Tamil Nadu - 620 018
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-4065.111864

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Emphysematous pyelonephritis is a rare, potentially lethal complication of polycystic kidney disease. Treatment mostly includes emergency nephrectomy of the affected kidney. We report a case of bilateral emphysematous pyelonephritis in a 57-year-old diabetic male with autosomal dominant polycystic kidney disease, who recovered with conservative treatment. Escherichia coli was cultured from the cyst aspirate. He was treated with percutaneous needle aspiration of infected cysts and intravenous antibiotics (meropenem and pazufloxacin) for 3 weeks.


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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07