Table 2 Haematological, biochemical, microbiological profile, intervention and outcome of the patients
From: Clinical profile and outcome of emphysematous pyelonephritis presenting to a tertiary care hospital
Sr no | Metabolic panel | Urine analysis | Ct scan findings | Diagnosis | Interventions | Outcome |
|---|---|---|---|---|---|---|
Case 1 | HB: 10.6 GM/DL TC: 7900 CELLS/µL RBS: 215 MG/DL CREAT: 2.4 MG/DL NA: 137 MEQ/L K: 4.1 MEQ/L HBAIC: 8.6% | Albumin: nil Sugar: nil RBC: NIL/HPF WBC: 10–15/HPF CULTURE: E-COLI | Left bulky kidney with multiple air foci in the left kidney | Left emphysematous pyelonephritis | Left DJ Stenting | Recovered |
Case 2 | HB:8.9 GM/DL TC:12,750 CELLS/µL RBS: 304 MG/DL CREAT:3.5 MG/DL NA: 133 MEQ/L K: 3.4 MEQ/L HBA1C: 10.8% | Albumin:2 + Sugar:2 + RBC:4–5 WBC:10–12 Culture: E-coli | Multiple air foci in bilateral kidneys with perinephric fat stranding | Bilateral emphysematous pyelonephritis | Bilateral DJ stenting | Recovered |
Case 3 | HB: 8.0 GM/DL TC: 25,000 CELLS/µL RBS: 300 MG/DL CREAT: 5.0 MG/DL NA: 133 MEQ/L K: 5.6 MEQ/L HBA1C: 9% | Albumin:2 + Sugar:2 + RBC: 1–2 WBC: plenty Culture: Kbleibeslla Pneumoniae | Multiple air foci in left kidney with left perinephric fat stranding with b/l non-obstructive renal calculi | Left emphysematous pyelonephritis | Hemodialysis Left DJ stenting followed by nephrectomy | Recovered/ required left nephrectomy |
Case 4 | HB: 6.3 GM/DL TC: 8600 CELLS/µL RBS: 290 MG/DL CREAT: 3 MG/DL NA: 135 MEQ/L K: 3.4 MEQ/L HBA1C: 10.2% | Albumin:1 + Sugar:nil RBC:6–7 WBC: PLENTY Culture: E-coli | Multiple air foci in bilateral kidneys with perinephric fat stranding | Bilateral emphysematous pyelonephritis | Bilateral DJ stenting | Recovered |
Case 5 | HB: 8.3 GM/DL TC: 5900 CELLS/µL RBS:112 MG/DL CREAT: 8.4 MG/DL NA: 139 MEQ/L K: 4.0 MEQ/L | Albumin: 3 + Sugar: nil RBC: nil WBC:15–16 Culture: E-coli | Multiple air foci with perinephric fat stranding in bilateral kidneys with right stag horn calculus and left lower ureteric calculi (Fig. 1) | Bilateral emphysematous pyelonephritis | Hemodialysis Bilateral DJ stenting with left PCN and right open nephrolithotomy | Recovered |
Case 6 | HB: 8.9 GM/DL TC: 18,900 CELLS/µL RBS: 258 MG/DL CREAT: 2.4 MG/DL NA: 139 MEQ/L K: 4.1 MEQ/L HBA1C: 8.8% | Albumin: 3 + Sugar: + 2 RBC: NIL WBC: PLENTY OF PUS CELLS Culture: E-coli | Multiple air foci in left kidney with perinephric fat stranding | Left emphysematous pyelonephritis | Left PCN with DJ stenting | Recovered |
Case 7 | HB: 12.4 GM/DL TC: 7820 CELLS/µL RBS: 302 MG/DL CREAT: 4.3 MG/DL NA: 123 MEQ/L K: 3.2 MEQ/L HBA1C: 10.1% | Albumin: + 3 Sugar: + 2 RBC: NIL WBC:40–50 Culture: negative | The right kidney was enlarged with significant peri nephric and periureteric fat stranding. There was dilation of the right pelvi-caliceal system with multiple air pockets. There was a urinoma formation in the right perinephric space extending unto the right iliac fossa (Fig. 2) | Right emphysematous pyelonephritis | Right peri-nephric abscess drainage with right DJ stenting | Recovered |
Case 8 | HB: 10.4 GM/DL TC: 7820 CELLS/µL RBS: 98 MG/DL CREAT: 4.3 MG/DL NA: 133 MEQ/L K: 3.4 MEQ/L | Albumin: + 3 Sugar: nil RBC: 10–20 WBC:40–50 Culture: E-coli | Multiple air foci in bilateral kidneys with bilatereal non-obstructive calculi | Bilateral emphysematous pyelonephritis | Bilateral DJ stenting | Recovered |