Emphysematous pyelonephritis

Case contributed by Dr Mohammad Taghi Niknejad

Presentation

Diabetic patient with fever and right flank pain. Leukocytosis and hyperglycemia are prominent lab findings.

Patient Data

Age: 80 years
Gender: Male

40 mm renal stone ; enlarged right renal parenchyma with small bubbly and linear streaks of gas.

Case Discussion

The CT findings in a diabetic patient with fever , flank pain and leukocytosis are compatible with emphysematous pyelonephritis. CT is the best diagnostic modality for emphysematous pyelonephritis.

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