Русский
Emphysematous pyelonephritis: case of successful conservative treatment
DOI: https://dx.doi.org/10.18565/urology.2020.6.118-121
V.V. Protoshchak, A.A. Sivakov, P.A. Babkin, V.K. Karandashov, A.E. Gorbynov, M.V. Lazutkin, S.A. Alentyev
1) Department and Clinic of Urology of FGBVOU VO S. M. Kirov Military Medical Academy of the Ministry of Defense of Russian Federation, Saint Petersburg, Russia; 2) Department and Clinic of General Surgery of FGBVOU VO S. M. Kirov Military Medical Academy of the Ministry of Defense of Russian Federation, Saint Petersburg, Russia
Emphysematous pyelonephritis is rare form of pyelonephritis, which has mortality of nearly 80%. Conservative treatment can be successful in less than 30% of cases. Currently, in the guidelines there is no standard approach to conservative and surgical treatment of this entity. The clinical observation of successful conservative treatment of a patient with emphysematous pyelonephritis, associated with decompensated diabetes mellitus, from the diagnosis to recovery without performing nephrectomy in order to preserve kidney function, is described in the article.
Keywords: emphysematous pyelonephritis, gas, J.J. Huang, diabetes mellitus, Enterococcus faecalis
About the Autors
Corresponding author: V.V. Protoshchak – Ph.D., MD, Chief urologist of the Ministry of Defense of Russian Federation, Chief of the Department and Clinic of Urology of FGBVOU VO S. M. Kirov Military Medical Academy of the Ministry of Defense of Russian Federation, Saint Petersburg, Russia; e-mail:protoshakurology@mail.ru
