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Title: Bilateral emphysematous pyelonephritis cured by antibiotics alone: a case and literature review. Author: Shigemura K, Yasufuku T, Yamashita M, Arakawa S, Fujisawa M. Journal: Jpn J Infect Dis; 2009 May; 62(3):206-8. PubMed ID: 19468182. Abstract: Emphysematous pyelonephritis (EPN) is a rare but severe infectious disease. This disease sometimes presents bilaterally, making it difficult to cure. Diabetes mellitus is a common cofactor in this disease. Drainage or nephrectomy, often combined with antibiotics, is ordinarily used for treatment. To our knowledge, only 8 cases of bilateral EPN cured by antibiotics alone have been reported. We report the case of an 86-year-old woman with bilateral EPN cured by antibiotic therapy alone, thus avoiding surgery or drainage in a frail elderly patient.[Abstract] [Full Text] [Related] [New Search]