{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:48:52Z","timestamp":1785455332052,"version":"3.56.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T00:00:00Z","timestamp":1522022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Urologia"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Introduction:<\/jats:title><jats:p> Emphysematous pyelonephritis is a rare necrotizing infection of the kidney with a poor prognosis. If it occurs in patients with a reduced general condition, this infection is life threatening. Early diagnosis is made by computed tomography. Treatment options are drainage and intensive care or immediate nephrectomy in severe cases. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case description:<\/jats:title><jats:p> A 73-year-old woman in a poor general condition presented with a fulminant urosepsis. Computed tomography revealed an impressive abscess formation of the right kidney with free air retro and intraperitoneal. The diagnosis of emphysematous pyelonephritis was made. Besides septicemia, she had a multiorgan failure including kidney and liver function deterioration. Nephrectomy was performed immediately. The postoperative course was successful with a complete stabilization of the kidney and liver function and reconvalescence of the patient. <\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion:<\/jats:title><jats:p> The widespread availability of imaging techniques leads to early diagnosis and a reduction of mortality of renal and periphrenic abscesses and even of emphysematous pyelonephritis. However, severe cases have a poor outcome and require aggressive and immediate therapy. Besides systemic antibiotic therapy and percutaneous and surgical drainage, radical nephrectomy is a viable therapy option and should be performed immediately in patients with several risk factors, poor prognosis, and extensive findings. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Radical nephrectomy being performed immediately seems to be the optimal management in patients with acute emphysematous nephritis and urosepsis. <\/jats:p><\/jats:sec>","DOI":"10.1177\/0391560317749428","type":"journal-article","created":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T17:56:55Z","timestamp":1527875815000},"page":"123-126","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Emphysematous pyelonephritis: Case report and literature overview"],"prefix":"10.1177","volume":"85","author":[{"given":"Brigitte Katharina","family":"Ziegelm\u00fcller","sequence":"first","affiliation":[{"name":"Department of Urology, Grosshadern Clinics, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernadett","family":"Szabados","sequence":"additional","affiliation":[{"name":"Department of Urology, Grosshadern Clinics, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annabel","family":"Spek","sequence":"additional","affiliation":[{"name":"Department of Urology, Grosshadern Clinics, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jozefina","family":"Casuscelli","sequence":"additional","affiliation":[{"name":"Department of Urology, Grosshadern Clinics, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Stief","sequence":"additional","affiliation":[{"name":"Department of Urology, Grosshadern Clinics, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Staehler","sequence":"additional","affiliation":[{"name":"Department of Urology, Grosshadern Clinics, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,3,26]]},"reference":[{"key":"bibr1-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1995.tb07237.x"},{"key":"bibr2-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.6.797"},{"key":"bibr3-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200702000-00009"},{"key":"bibr4-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2010.09660.x"},{"key":"bibr5-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.198.2.8596845"},{"key":"bibr6-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.05.017"},{"key":"bibr7-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)50309-2"},{"issue":"11","key":"bibr8-0391560317749428","first-page":"TD03","volume":"9","author":"Hiremath R","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"bibr9-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.01.019"},{"key":"bibr10-0391560317749428","doi-asserted-by":"publisher","DOI":"10.1159\/000087165"}],"container-title":["Urologia Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0391560317749428","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0391560317749428","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0391560317749428","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T19:32:52Z","timestamp":1740771172000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0391560317749428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,26]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1177\/0391560317749428"],"URL":"https:\/\/doi.org\/10.1177\/0391560317749428","relation":{},"ISSN":["0391-5603","1724-6075"],"issn-type":[{"value":"0391-5603","type":"print"},{"value":"1724-6075","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,26]]}}}