Emphysematous Pyelonephritis Caused by E.Coli and Candida Albicans with Oral Candidiasis and Herpes Genitalis: A Dreaded InfectionCorrespondence Address :
Dr. Shyam Lal,
D-60-61, UGF ,F/S, Sewak Park Uttam Nagar, New Delhi, Delhi, India.
Emphysematous Pyelonephritis (EPN) is a rare, potentially fatal necrotising pyelonephritis, with rising trend in diabetic patients (95%). E.coli is the most common uropathogen whereas Candida albicans is extremely rare. Mortality in EPN, with present management techniques, is 18%. It should be suspected in diabetic patients with pyelonephritis. Splenic abscess is an uncommon association. Contrast Enhanced Computed Tomography (CECT) of abdomen is cornerstone for diagnosis. Nephrectomy is mainstay of treatment in extensive disease. Herein, we report a rare case of EPN in 58-year-old female who presented with diabetic ketoacidosis and septicaemia caused by E. coli and Candida albicans with superadded Herpes genitalis and oral candidiasis which is unique. Right nephrectomy was done. Postoperatively, she developed splenic abscess which was managed by percutaneous drainage.
Nephrectomy, Oral candidiasis, Splenic abscess
Shyam Lal, Ankit Kaura, Pradhuman Yadav, Isha. EMPHYSEMATOUS PYELONEPHRITIS CAUSED BY E.COLI AND CANDIDA ALBICANS WITH ORAL CANDIDIASIS AND HERPES GENITALIS: A DREADED INFECTION. Journal of Clinical and Diagnostic Research [serial online] 2018 August [cited: 2018 Sep 23 ]; 12:PD01-PD03. Available from
Date of Submission: Jan 29, 2018
Date of Peer Review: Mar 23, 2018
Date of Acceptance: Apr 27, 2018
Date of Publishing: Aug 01, 2018
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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