Anaesthetic Management of Nephrectomy for Emphysematous Pyelonephritis

Anaesthetic Management of Nephrectomy for Emphysematous Pyelonephritis

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Emphysematous pyelonephritis (EPN) is a serious and often life threatening infection of the renal and perirenal tissues.The characteristic feature of this infection is the presence of gas stewart copeland drumsticks within the kidney and perinephric tissues.The triad of symptoms of fever, flank pain and pyuria, especially in a diabetic female patient which did not respond promptly to conventional antibiotic therapy raised the possibility of EPN.CT scan established the diagnosis and the line of management.After failing medical management, uncontrolled frustrating hyperglycemia with fear of septice-mia, nephrectomy was done in life threatening fulminant infection of greenlee 45300 the kidney.