Academic Journal
Coexistence of Emphysematous Pyelonephritis Related to Renal Tuberculosis, Iliopsoas Abscess and COVID-19 Pneumonia Presenting as Diabetic Ketoacidosis: A Case Report and Review of the Literature
| العنوان: | Coexistence of Emphysematous Pyelonephritis Related to Renal Tuberculosis, Iliopsoas Abscess and COVID-19 Pneumonia Presenting as Diabetic Ketoacidosis: A Case Report and Review of the Literature |
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| المؤلفون: | Muge Bilge, Isil Kibar Akilli, Furkan Isgoren, Furkan Kizilisik, Burak Cakici, Samet Ercan, Ugur Aydin, Busra Bulut |
| المصدر: | Grand Journal of Urology, Vol 2, Iss 2, Pp 80-84 (2022) |
| بيانات النشر: | Ekrem Güner |
| سنة النشر: | 2022 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | emphysematous pyelonephritis, renal tuberculosis, iliopsoas abscess, covid-19 pneumonia, diabetic ketoacidosis, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | Concurrence of emphysematous pyelonephritis related to renal tuberculosis and iliopsoas abscess is exceedingly rare, and its coexistence with COVID-19 pneumonia presented as "diabetic ketoacidosis" may have fatal consequences. A 46-year-old diabetic female patient was manifesting signs of septic shock; unconsciousness, febrile episodes, tachycardia and tachypneia when she was first admitted to our emergency department. She had positive real-time PCR test results for COVID-19 four days before her admission with symptoms of abdominal pain, fever, nausea, weakness, chest tightness, and shortness of breath persisting for a week. Blood test results were consistent with diabetic keto acidosis. Computed tomography (CT) showed left-sided emphysematous pyelonephritis and iliopsoas abscess. The patient was managed using percutaneous drainage and empirical antibiotics. Besides, renal tuberculosis was identified in the patient who did not respond to the treatment offered. A poor glycemic control may cause various fatal clinical complications. Concurrence of emphysematous pyelonephritis and iliopsoas abscess may be devastating for the patient that must be promptly managed to avoid any occurrence of septic shock. As the response to the treatment offered was inadequate, the coexistence of other disease states as renal tuberculosis was contemplated. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 2757-7163 |
| Relation: | https://grandjournalofurology.com/uploads/pdf/pdf_GJU_58.pdf; https://doaj.org/toc/2757-7163; https://doaj.org/article/28f13c30ce9a46ad888e47bfa651e133 |
| DOI: | 10.5505/GJU.2022.57441 |
| الاتاحة: | https://doi.org/10.5505/GJU.2022.57441 https://doaj.org/article/28f13c30ce9a46ad888e47bfa651e133 |
| رقم الانضمام: | edsbas.87C0FB |
| قاعدة البيانات: | BASE |
| تدمد: | 27577163 |
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| DOI: | 10.5505/GJU.2022.57441 |