{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:50:29Z","timestamp":1791935429286,"version":"4.3.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,26]]},"abstract":"\n Emphysematous pyelonephritis (EPN) is a rare, necrotising infection of the renal parenchyma, predominantly associated with\n Escherichia coli<\/jats:italic>\n infection and unless promptly recognised and dealt with, it carries a poor prognosis. The current treatment is one of antimicrobial therapies together with nephrectomy in a majority of patients. We report an elderly man with multiple comorbidities with a diagnosis of EPN whose condition improved with antimicrobial and supportive therapy, and no surgical intervention was required.\n <\/jats:p>","DOI":"10.1136\/bcr-2018-225931","type":"journal-article","created":{"date-parts":[[2018,9,12]],"date-time":"2018-09-12T10:55:17Z","timestamp":1536749717000},"page":"bcr-2018-225931","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Emphysematous pyelonephritis: outcomes of conservative management and literature review"],"prefix":"10.1136","volume":"2018","author":[{"given":"Stuart","family":"Deoraj","sequence":"first","affiliation":[{"name":"Department of Cardiology, Frimley Health Foundation Trust, Slough, Berkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fady","family":"Zakharious","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Frimley Health Foundation Trust, Slough, Berkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashraf","family":"Nasim","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Frimley Health Foundation Trust, Slough, Berkshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantinos","family":"Missouris","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Frimley Health Foundation Trust, Slough, Berkshire, UK"},{"name":"Medical School, University of Cyprus, Nicosia, Cyprus"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,9,12]]},"reference":[{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-14-1"},{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.05.019"},{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.3","doi-asserted-by":"publisher","DOI":"10.4103\/0971-4065.109418"},{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.4","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.purol.2007.08.002","article-title":"[Management of emphysematous pyelonephritis based on a series of 21 cases]","volume":"18","author":"Derouiche","year":"2008","journal-title":"Prog Urol"},{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.5","doi-asserted-by":"publisher","DOI":"10.1159\/000315056"},{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2007.12.095"},{"key":"2025082801534900000_2018.sep11_2.bcr-2018-225931.7","first-page":"9","article-title":"Role of conservative management in emphysematous pyelonephritis - 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