Emphysematous pyelonephritis - renal graft

Discussion:

Because of the CT findings percutaneous drainage was performed, obtaining 100cc of purulent fluid consistent with the suspicion of a perirenal abscess.

Emphysematous pyelonephritis is an uncommon severe infection of the kidney, usually seen in diabetic but also immunocompromised patients. In this case, there was leukopenia and the patient was still undergoing immunosuppressive therapy because of the transplant. If left untreated, it carries a high risk of sepsis and death.

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