{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T07:58:30Z","timestamp":1764489510907,"version":"3.46.0"},"reference-count":0,"publisher":"Oman Medical Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Oman Med J"],"abstract":"<jats:p>Emphysematous pyelonephritis (EPN) is a rare necrotizing infection of the renal parenchyma and pelvicalyceal system caused by gas-forming organisms. We describe a novel case of an elderly woman with poorly controlled diabetes mellitus and end-stage renal failure on peritoneal dialysis, who developed polymicrobial EPN involving the Bifidobacterium breve and Klebsiella pneumoniaepathogens. She was successfully treated with culture-directed parenteral antibiotics and percutaneous drainage of renal collections. To our knowledge, B. breve is a previously unreported cause of EPN. This report highlights its potential in causing opportunistic infections in immunocompromised hosts in the appropriate clinical context.<\/jats:p>","DOI":"10.5001\/omj.2025.18","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:58:46Z","timestamp":1691369926000},"page":"e764-e764","source":"Crossref","is-referenced-by-count":0,"title":["Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis"],"prefix":"10.5001","volume":"40","author":[{"given":"Isaac KS","family":"Ng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui Kai","family":"Koh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haresh","family":"Tulsidas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2907","published-online":{"date-parts":[[2025,5,31]]},"container-title":["Oman Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T07:54:47Z","timestamp":1764489287000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.omjournal.org\/articleDetails.aspx?coType=1&aId=4046"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,5,31]]}},"URL":"https:\/\/doi.org\/10.5001\/omj.2025.18","relation":{},"ISSN":["1999-768X","2070-5204"],"issn-type":[{"type":"print","value":"1999-768X"},{"type":"electronic","value":"2070-5204"}],"subject":[],"published":{"date-parts":[[2025,5,31]]}}}