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Emphysematous Pyelonephritis: Radiologic Diagnosis

DOI : https://doi.org/10.36349/easjrit.2022.v04i06.002
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Emphysematous pyelonephritis (EPP) is a severe and necrotizing form of acute bacterial pyelonephritis with a life-threatening outcome. It is a rare condition, occurring preferentially in diabetic patients and linked to the development of anaerobic germs. There is a predominance of women (2/1). The CT scan is the best technique, which allows the positive diagnosis by the presence of gases in the renal parenchyma, in the collecting system or in the peri- renal spaces. The evolution of the disease is the basis of its radiological classification in 4 stages. The therapeutic attitudes diverge between surgical treatment, percutaneous drainage and conservative treatment.

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Dr. Afroza Begum

Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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