TITLE:
Emphysematous Pyelonephritis in a Black African Woman Managed with Antibiotics Alone
AUTHORS:
Kossi Akomola Sabi, Béfa Noto Kadou Kaza, Eyram Yoan Amekoudi, Jacques Vigan, Vicko Manou, Dazé Apollinaire Gnionsahe
KEYWORDS:
Emphysematous Pyelonephritis, Africa, Togo
JOURNAL NAME:
Open Journal of Nephrology,
Vol.6 No.4,
December
19,
2016
ABSTRACT: Introduction: Emphysematous pyelonephritis (EPN) is a severe,
life-threatening infection of the renal parenchyma. This condition is
characterized by the production of intrarenal and perinephric gas. In the
world, the EPN is currently limited to case series reported. No cases have been
described in black Africa. Aims:
Related a first case of EPN diagnosed and treated in the University Hospital
Center Sylvanus Olympio of Lomé in Togo. Observation:
A 40 years old woman, with antecedent of diabetes presented pyelonephritis emphysematous class 2. She was treated successfully with antibiotic alone without using percutaneous drainage or nephrectomy. Conclusion: As
reported in every case series, it was a young diabetic patient with a clinical
features of acute pyelonephritis which CT scan had helped lay the EPN class 2 diagnosed.
The germ was Klebsiella pneumoniae. She was treated with adapted
antibiotic alone.