Emphysematous pyelonephritis in children: Lessons from a case report and systematic review.
K V Aparna, Mohnish Darshan, Avani Kulkarni et al.
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Case in brief
An adolescent girl with Type 1 diabetes presented with class 3A right-sided emphysematous pyelonephritis. She was treated successfully with antibiotics and percutaneous nephrostomy, highlighting the importance of timely intervention in this rare condition. The case underscores the need for awareness of EPN in pediatric patients, particularly those with underlying risk factors.
Diagnostic / clinical pearl
Clinicians should consider emphysematous pyelonephritis in pediatric patients with diabetes presenting with renal symptoms, as early diagnosis and intervention can significantly improve outcomes.
Why it matters
This case emphasizes the critical role of recognizing risk factors such as diabetes in the development of emphysematous pyelonephritis, which can lead to life-threatening complications if not promptly addressed.