Emphysematous Pyelonephritis in a Black African Woman Managed with Antibiotics Alone

作     者：Kossi Akomola Sabi Béfa Noto Kadou Kaza Eyram Yoan Amekoudi Jacques Vigan Vicko Manou Dazé Apollinaire Gnionsahe Kossi Akomola Sabi;Béfa Noto Kadou Kaza;Eyram Yoan Amekoudi;Jacques Vigan;Vicko Manou;Dazé Apollinaire Gnionsahe

作者机构：Department of Nephrology and Hemodialysis Sylvanus Olympio University Teaching Hospital Lomé Togo 

出 版 物：《Open Journal of Nephrology》 (肾脏病（英文）)

年 卷 期：2016年第6卷第4期

页      面：151-156页

学科分类：07[理学] 0701[理学-数学] 070101[理学-基础数学] 

主　　题：Emphysematous Pyelonephritis Africa Togo 

摘      要：Introduction: Emphysematous pyelonephritis (EPN) is a severe, life-threatening infection of the renal parenchyma. This condition is characterized by the production of intrarenal and perinephric gas. In the world, the EPN is currently limited to case series reported. No cases have been described in black Africa. Aims: Related a first case of EPN diagnosed and treated in the University Hospital Center Sylvanus Olympio of Lomé in Togo. Observation: A 40 years old woman, with antecedent of diabetes presented pyelonephritis emphysematous class 2. She was treated successfully with antibiotic alone without using percutaneous drainage or nephrectomy. Conclusion: As reported in every case series, it was a young diabetic patient with a clinical features of acute pyelonephritis which CT scan had helped lay the EPN class 2 diagnosed. The germ was Klebsiella pneumoniae. She was treated with adapted antibiotic alone.