La pyélonéphrite emphysémateuse bilatérale à Candida glabrata : une entité exceptionnelle
- 30 November 2010
- journal article
- case report
- Published by John Libbey Eurotext in Nephrologie & Therapeutique
- Vol. 6 (6), 541-543
- https://doi.org/10.1016/j.nephro.2010.05.005
Abstract
Acute emphysematous pyelonephritis (AEP) is a severe form of urinary tract infection. It occurs usually in diabetics. The most concerned agents are the Gram-negative bacilli. We report a first case of bilateral AEP due to Candida glabrata, occurred in a 64-year-old diabetic woman. The clinical presentation started with fever and abdominal pains, without signs of urinary tract infection. Within six hours, the patient had developed a septic shock with renal failure and ketoacidosis. The diagnosis was confirmed by CT scan and the pathogen was isolated in urine. Despite antibiotic and antifungal treatment, she died from a septic shock. Acute emphysematous pyelonephritis due to Candida species is rare. However, the addition of antifungal therapy seems justified if a severe emphysematous pyelonephritis is associated with risk factors of Candida infection.Keywords
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