Pan African Medical Journal

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La pyélonéphrite emphysémateuse à évolution favorable après traitement médical: à propos de 3 observations

Abdelouahed Lasri, Amine Saouli, Othmane Yddoussalah, Tarik Karmouni, Khalid Elkhader, Abdellatif Koutani, Ahmed Ibn attya Andaloussi


Emphysematous pyelonephritis is a necrotic infection of the kidney characterized by the presence of gas within the renal parenchyma, the secretory cavities or the perirenal spaces. It is a severe condition that could be life-threatening. Patient’s management remains controversial and is based either on surgery or on medical treatment. Percutaneous drainage can be also used for the treatment of these patients. We report 3 cases with EPN treated with only antibiotics. Patients’ evolution was favorable. These results show that medical treatment could be sufficient.

Keywords: Emphysematous pyelonephritis, diabetes, uroscanner, medical treatment

AJOL African Journals Online