Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis

We present a rare case of emphysematous pyelonephritis complicated by secondary emphysematous osteomyelitis, likely resulting from the hematogenous spread of Escherichia coli in a patient with multiple comorbid conditions. Early identification of computed tomography findings and prompt initiation of...

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Main Authors: Farha Ahmed Karlath, Mohamad Al Kateb, Richard Ellison
Format: Article
Language:English
Published: American College of Physicians 2025-05-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.1373
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author Farha Ahmed Karlath
Mohamad Al Kateb
Richard Ellison
author_facet Farha Ahmed Karlath
Mohamad Al Kateb
Richard Ellison
author_sort Farha Ahmed Karlath
collection DOAJ
description We present a rare case of emphysematous pyelonephritis complicated by secondary emphysematous osteomyelitis, likely resulting from the hematogenous spread of Escherichia coli in a patient with multiple comorbid conditions. Early identification of computed tomography findings and prompt initiation of therapy resulted in a favorable outcome. This case underscores the importance of rapid diagnosis and intervention in patients with complex comorbid conditions, because early treatment can significantly improve outcomes.
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publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-dc8e235dea8b4e2ea9d57aede3e802d92025-08-20T03:08:17ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-05-014510.7326/aimcc.2024.1373Emphysematous Pyelonephritis and Concurrent Emphysematous OsteomyelitisFarha Ahmed Karlath0Mohamad Al Kateb1Richard Ellison21Department of Medicine, Division of Infectious Diseases & Immunology, UMass Chan Medical School, Worcester, Massachusetts2Department of Medicine, Division of Infectious Diseases & Immunology, Sandoval Regional Medical Center, Rio Rancho, New Mexico1Department of Medicine, Division of Infectious Diseases & Immunology, UMass Chan Medical School, Worcester, MassachusettsWe present a rare case of emphysematous pyelonephritis complicated by secondary emphysematous osteomyelitis, likely resulting from the hematogenous spread of Escherichia coli in a patient with multiple comorbid conditions. Early identification of computed tomography findings and prompt initiation of therapy resulted in a favorable outcome. This case underscores the importance of rapid diagnosis and intervention in patients with complex comorbid conditions, because early treatment can significantly improve outcomes.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1373
spellingShingle Farha Ahmed Karlath
Mohamad Al Kateb
Richard Ellison
Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis
Annals of Internal Medicine: Clinical Cases
title Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis
title_full Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis
title_fullStr Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis
title_full_unstemmed Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis
title_short Emphysematous Pyelonephritis and Concurrent Emphysematous Osteomyelitis
title_sort emphysematous pyelonephritis and concurrent emphysematous osteomyelitis
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.1373
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AT mohamadalkateb emphysematouspyelonephritisandconcurrentemphysematousosteomyelitis
AT richardellison emphysematouspyelonephritisandconcurrentemphysematousosteomyelitis