IJU case reports · 2022
Contralateral necrotizing fascitis after left nephrectomy for emphysematous pyelonephritis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Fuentes Alberto, Rojas Pablo A, Del Valle Felipe, Ortega Carlidia, Bravo Juan Cristobal, Kompatzki Álvaro
Аннотация
INTRODUCTION: Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma. The management is variable, extending to total nephrectomy in severe or refractory cases. Post-nephrectomy complications are numerous and common, necrotizing fasciitis, and sepsis being among them.
CASE PRESENTATION: We present a case of a 37-year-old woman with obesity and a previous left emphysematous pyelonephritis episode managed conservatively. The patient presented with a second left emphysematous pyelonephritis and underwent a left total nephrectomy. Two weeks later, the patient presented with a contralateral necrotizing fasciitis of the abdominal wall. Subsequently, the patient required several surgical debridement procedures and a vacuum-assisted closure system treatment.
CONCLUSION: Emphysematous pyelonephritis is an aggressive infectious disease that requires high suspicion in patients at risk.
CASE PRESENTATION: We present a case of a 37-year-old woman with obesity and a previous left emphysematous pyelonephritis episode managed conservatively. The patient presented with a second left emphysematous pyelonephritis and underwent a left total nephrectomy. Two weeks later, the patient presented with a contralateral necrotizing fasciitis of the abdominal wall. Subsequently, the patient required several surgical debridement procedures and a vacuum-assisted closure system treatment.
CONCLUSION: Emphysematous pyelonephritis is an aggressive infectious disease that requires high suspicion in patients at risk.