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She was discharged home and her case was followed-up by an urologist and nephrologist. This case lays emphasis on thoroughly investigating and managing a patient with bilateral emphysematous pyelonephritis and, in relation to its management, on the dilemma of whether the treatment of choice should be conservative or surgical.<\/jats:p>","DOI":"10.1136\/bcr.10.2010.3425","type":"journal-article","created":{"date-parts":[[2011,3,8]],"date-time":"2011-03-08T12:53:23Z","timestamp":1299588803000},"page":"bcr1020103425","source":"Crossref","is-referenced-by-count":1,"title":["Acute bilateral emphysematous pyelonephritis"],"prefix":"10.1136","volume":"2011","author":[{"given":"John","family":"Surur","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,3,8]]},"reference":[{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(96)00501-8"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.6.797"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.3","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/S0022-5347(17)50309-2","article-title":"Emphysematous pyelonephritis","volume":"131","author":"Michaeli","year":"1984","journal-title":"J Urol"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.4","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1001\/jama.1898.92450080001001","article-title":"Pneumaturia","volume":"31","author":"Kelly","year":"1898","journal-title":"JAMA"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(88)80622-X"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(87)90511-0"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.7","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/S0022-5347(17)34889-9","article-title":"Gas in hepatic veins: a rare and critical presentation of emphysematous pyelonephritis","volume":"151","author":"Chen","year":"1994","journal-title":"J Urol"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.8","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.12.3.229"},{"key":"2025082801320272000_2011.mar05_1.bcr1020103425.9","first-page":"1419","article-title":"Pyelonephritis emphysematosa. 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