Case report. Emfysemateuze pyelonefritis bij kinderen

Rens A.L. Jacobs; Piet R.H. Callewaert

doi:10.1007/s13629-021-00319-w

Case report. Emfysemateuze pyelonefritis bij kinderen

Translated title of the contribution: Case report. Emphysematous pyelonephritis in children

Rens A.L. Jacobs, Piet R.H. Callewaert^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

In this case report we describe a 12 year old patient with an emphysematous pyelonephritis (EPN) due to an uretero-pelvic junction stenosis. An EPN in children is extremely rare. The pathogenesis is largely unknown but seems to be related to urinary tract obstruction, urinary stone disease or a decreased immunity. In contrast to the adult population with EPN diabetes mellitus doesn’t seem to be a major risk factor in children. The clinical picture of EPN varies from symptoms of a classic pyelonephritis to a severe septic shock. Computer tomographic imaging forms the best diagnostic modality. Treatment consists of early resuscitation of the septic patient in combination with drainage of the kidney in case of obstruction. The clinical outcome in children is generally good.

Translated title of the contribution	Case report. Emphysematous pyelonephritis in children
Original language	Dutch
Pages (from-to)	44-52
Number of pages	9
Journal	Tijdschrift voor Urologie
Volume	11
Issue number	2-3
DOIs	https://doi.org/10.1007/s13629-021-00319-w
Publication status	Published - 1 Mar 2021

Keywords

children
emphysematous pyelonephritis
ureteropelvic junction stenosis

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10.1007/s13629-021-00319-wLicence: CC BY

Cite this

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title = "Case report. Emfysemateuze pyelonefritis bij kinderen",

abstract = "In this case report we describe a 12 year old patient with an emphysematous pyelonephritis (EPN) due to an uretero-pelvic junction stenosis. An EPN in children is extremely rare. The pathogenesis is largely unknown but seems to be related to urinary tract obstruction, urinary stone disease or a decreased immunity. In contrast to the adult population with EPN diabetes mellitus doesn{\textquoteright}t seem to be a major risk factor in children. The clinical picture of EPN varies from symptoms of a classic pyelonephritis to a severe septic shock. Computer tomographic imaging forms the best diagnostic modality. Treatment consists of early resuscitation of the septic patient in combination with drainage of the kidney in case of obstruction. The clinical outcome in children is generally good.",

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doi = "10.1007/s13629-021-00319-w",

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N2 - In this case report we describe a 12 year old patient with an emphysematous pyelonephritis (EPN) due to an uretero-pelvic junction stenosis. An EPN in children is extremely rare. The pathogenesis is largely unknown but seems to be related to urinary tract obstruction, urinary stone disease or a decreased immunity. In contrast to the adult population with EPN diabetes mellitus doesn’t seem to be a major risk factor in children. The clinical picture of EPN varies from symptoms of a classic pyelonephritis to a severe septic shock. Computer tomographic imaging forms the best diagnostic modality. Treatment consists of early resuscitation of the septic patient in combination with drainage of the kidney in case of obstruction. The clinical outcome in children is generally good.

AB - In this case report we describe a 12 year old patient with an emphysematous pyelonephritis (EPN) due to an uretero-pelvic junction stenosis. An EPN in children is extremely rare. The pathogenesis is largely unknown but seems to be related to urinary tract obstruction, urinary stone disease or a decreased immunity. In contrast to the adult population with EPN diabetes mellitus doesn’t seem to be a major risk factor in children. The clinical picture of EPN varies from symptoms of a classic pyelonephritis to a severe septic shock. Computer tomographic imaging forms the best diagnostic modality. Treatment consists of early resuscitation of the septic patient in combination with drainage of the kidney in case of obstruction. The clinical outcome in children is generally good.

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JF - Tijdschrift voor Urologie

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ER -

Case report. Emfysemateuze pyelonefritis bij kinderen

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