فهرست نشریات علمی دسترسی آزاد ایران

IntroductionAbdominal emphysematous pyelonephritis and its association with lung involvement in diabetic patients can be life-treating and should be cured as soon as possible.Case presentationOur case is a 39-year-old female patient with diabetes mellitus with a history of left kidney stones. She underwent extracorporeal shock wave Lithotripsy (ESWL) and was referred to the emergency room a week later because of glucose 389 mg/dL, fever, and renal abscess. The infection then developed as emphysema around the kidneys and lungs, and subsequent studies of urine sample tests confirmed the infection with E-Coil. Following this parenchymal infection, the left kidney was destroyed and developed above the abscess diaphragm, and the left lung collapsed, causing progressive emphysematous (PELE). The patient underwent the necessary diagnostic and therapeutic measures, including glycemic control and surgery thoracoabdominal incision with left nephrectomy, abscess drainage, and decortications. Eventually, the patient was discharged in good general condition.ConclusionsIn our case, auto-nephrectomy caused by pyelonephritis occurred in the context of diabetes and with a history of renal stone, so it seems that diabetic patients should also consider auto-nephrectomy in severe chronic and acute pyelonephritis infection.