Emphysematous pyelonephritis responding rapidly to medical treatment: A case report and review of the literature [Medikal tedaviye hızlı yanıt veren amfizematöz piyelonefrit: Bir olgu sunumu ve literatürün gözden geçirilmesi]

Emphysematous pyelonephritis (epn) is a rare necrotizing and suppurative infection with relatively high mortality. it is generally observed in diabetic patients and is characterized by gas formation in intrarenal or perirenal regions. a medical history of diabetes,consciousness level,urinary obstruction,clinical picture of acute renal failure,and thrombocytopenia in epn cases,as well as radiological imaging play a major role in determining the treatment method for these patients. here we aimed to discuss the rapid response of a patient with epn,who also had unconrolled diabetes and underlying chronic renal disease,to successful medical treatment. © 2016 by turkish society of medical and surgical intensive care medicine.