A 70-year-old female presented to the emergency department with a chief complaint
of abdominal pain that started 5 days prior to presentation. The abdominal pain was
described as nonradiating, constant, 10 out of 10 on the pain scale, and located in
the left lower quadrant. The pain was accompanied by nausea, emesis, and diarrhea.
She also reported fever and chills for the last 2 days. Blood tests demonstrated hyperglycemia
(503 mg/dL), severe thrombocytopenia (27 k/µL), elevated creatinine level (2.9 mg/dL),
and lactic acidosis (7.0 mmol/L). She had not seen a physician in the last 10 years
and had no prior diagnosis of diabetes. She reported a history of anaphylactic allergic
reaction to penicillin.
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References
- Predictive factors for mortality and need for nephrectomy in patients with emphysematous pyelonephritis.BJU Int. 2010; 105: 986-989
- A systematic review and meta-analysis of risk factors and treatment choices in emphysematous pyelonephritis.Int Urol Nephrol. 2022; 54: 717-736
Article info
Publication history
Published online: February 03, 2023
Accepted:
January 4,
2023
Received:
December 22,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
Funding: None.
Conflicts of Interest: None.
Authorship: All authors had access to the data and a role in writing this manuscript.
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
