{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T22:10:31Z","timestamp":1773353431141,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,2,3]],"date-time":"2015-02-03T00:00:00Z","timestamp":1422921600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Emphysematous pyelonephritis (<jats:styled-content style=\"fixed-case\">EPN<\/jats:styled-content>) is a life\u2010threatening renal infection caused by gas\u2010producing bacteria and fungi. It usually occurs in patients with diabetes and patients with urinary tract obstruction. A combination of systemic antibiotics, percutaneous catheter drainage, or open nephrectomy is typically required to achieve cure. Because of grim prognosis, resorting to interventional methods is frequently inevitable. We report the case of a 77\u2010year\u2010old woman with diabetes and end\u2010stage renal disease on chronic hemodialysis that presented with fever and left flank pain. A bubbly gas pattern inside the left kidney was demonstrated on abdominal computed tomography scan and blood cultures grew <jats:italic>Escherichia coli<\/jats:italic>. She was successfully treated solely with systemic antibiotics. This highlights the fact that prompt recognition of imaging findings associated with benign prognosis is essential for a favorable outcome. It allows for an effective management avoiding high\u2010risk interventions, especially in frail patients with multiple comorbidities. Finally, we review all published cases of <jats:styled-content style=\"fixed-case\">EPN<\/jats:styled-content> in chronic dialysis patients.<\/jats:p>","DOI":"10.1111\/hdi.12274","type":"journal-article","created":{"date-parts":[[2015,2,3]],"date-time":"2015-02-03T06:19:09Z","timestamp":1422944349000},"source":"Crossref","is-referenced-by-count":4,"title":["Successful medical treatment of emphysematous pyelonephritis in chronic hemodialysis"],"prefix":"10.1111","volume":"19","author":[{"given":"Georgios","family":"Vlachopanos","sequence":"first","affiliation":[{"name":"Department of Nephrology \u201cAsklepieion\u201d General Hospital  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros","family":"Kassimatis","sequence":"additional","affiliation":[{"name":"Department of Nephrology \u201cAsklepieion\u201d General Hospital  Athens 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