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Emphysematous infections of the urinary tract – an audit of 20 patients with review of literature

  • Sasanka Kumar Barua EMAIL logo , Somor Jyoti Bora , Puskal Kumar Bagchi , Debanga Sarma , Mandeep Phukan , Saumar Jyoti Baruah und Thekampadum Puthenveetil Rajeev
Veröffentlicht/Copyright: 18. August 2017

Abstract

Emphysematous infection of the urinary tract is a rapidly progressive, necrotizing infection which results into collection of gas and subsequent destruction of the tissues. Although very rare among general population, such necrotizing infection is common, particularly among those with compromised immune status. With the rising trend of people afflicted with diabetes mellitus globally, this fulminating infection may pose a serious threat to the medical fraternity. A high index of suspicion and abdominal CT scan usually helps to establish the diagnosis at an early stage and thereby facilitating aggressive antimicrobial therapy and percutaneous drainage where indicated. Although, extirpation of infected renal unit was the treatment of choice earlier, with the advent of modern imaging, endourological procedures and broad spectrum antibiotics, majority of such patients can be treated with minimal morbidity and mortality even with salvaging of the renal units. We present here the outcome of management of 20 cases with varied spectrum of emphysematous infection.

  1. Compliance with ethical standards: yes

  2. Disclosure of potential conflicts of interests:

  3. Funding: This study did not receive any grant.

  4. Conflict of interest: The authors declare that they have no conflict of interest.

  5. Research involving human participants and/or animals: no

  6. Ethical approval: This chapter does not contain any studies with human participants or animals performed by any of the authors.

  7. Informed consent: For this type of study formal consent is not required.

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Received: 2017-03-11
Accepted: 2017-06-04
Published Online: 2017-08-18

©2019 Walter de Gruyter GmbH, Berlin/Boston

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