{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T22:51:57Z","timestamp":1788648717021,"version":"build-2803163510"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T00:00:00Z","timestamp":1662422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["IJU Case Reports"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>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\u2010nephrectomy complications are numerous and common, necrotizing fasciitis, and sepsis being among them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>We present a case of a 37\u2010year\u2010old 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\u2010assisted closure system treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Emphysematous pyelonephritis is an aggressive infectious disease that requires high suspicion in patients at risk.<\/jats:p><\/jats:sec>","DOI":"10.1002\/iju5.12528","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T08:43:48Z","timestamp":1662453828000},"page":"511-514","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Contralateral necrotizing fascitis after left nephrectomy for emphysematous pyelonephritis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0922-7124","authenticated-orcid":false,"given":"Alberto","family":"Fuentes","sequence":"first","affiliation":[{"name":"Servicio de Urolog\u00eda Complejo Asistencial Hospital Sotero de Rio  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo A","family":"Rojas","sequence":"additional","affiliation":[{"name":"Servicio de Urolog\u00eda Complejo Asistencial Hospital Sotero de Rio  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Felipe","family":"del Valle","sequence":"additional","affiliation":[{"name":"Departamento de Urolog\u00eda, Facultad de Medicina Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlidia","family":"Ortega","sequence":"additional","affiliation":[{"name":"Departamento de Cirug\u00eda, Facultad de Medicina Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Cristobal","family":"Bravo","sequence":"additional","affiliation":[{"name":"Departamento de Urolog\u00eda, Facultad de Medicina Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Kompatzki","sequence":"additional","affiliation":[{"name":"Servicio de Urolog\u00eda Complejo Asistencial Hospital Sotero de Rio  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2009.51"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.6.797"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0974-7796.158503"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0391560317749428"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000315056"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.05.017"},{"key":"e_1_2_10_8_1","first-page":"1","article-title":"Emphysematous pyelonephritis: outcomes of conservative management and literature review","volume":"12","author":"Deoraj S","year":"2018","journal-title":"BJM Case Rep."},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/jcis.JCIS_56_17"},{"key":"e_1_2_10_10_1","first-page":"101299","article-title":"A rare presentation of xanthogranulomatous pyelonephritis and emphysematous pyelonephritis complicated with necrotizing fasciitis of scrotum and perineum (Fournier gangrene)","volume":"30","author":"Haji L","year":"2020","journal-title":"Urol. 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