Contralateral Necrotizing Fascitis After Left Nephrectomy for Emphysematous Pyelonephritis

Overview

Journal IJU Case Rep

Date 2022 Nov 7

PMID 36341196

Authors

Alberto Fuentes

Pablo A Rojas

Felipe Del Valle

Carlidia Ortega

Juan Cristobal Bravo

Alvaro Kompatzki

Affiliations

Soon will be listed here.

Abstract

Introduction: Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma. The management is variable, extending to total nephrectomy in severe or refractory cases. Post-nephrectomy complications are numerous and common, necrotizing fasciitis, and sepsis being among them.

Case Presentation: We present a case of a 37-year-old woman with obesity and a previous left emphysematous pyelonephritis episode managed conservatively. The patient presented with a second left emphysematous pyelonephritis and underwent a left total nephrectomy. Two weeks later, the patient presented with a contralateral necrotizing fasciitis of the abdominal wall. Subsequently, the patient required several surgical debridement procedures and a vacuum-assisted closure system treatment.

Conclusion: Emphysematous pyelonephritis is an aggressive infectious disease that requires high suspicion in patients at risk.

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