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Emphysematous pyelonephritis after urinary diversion by percutaneous nephrostomy in patient with advanced cervical cancer: A case report.
Zanon, Jeferson Rodrigo; Durante, Henrique; Nóbrega, Leandro de Medeiros; Accorsi, Guilherme; Pedrão, Priscila Grecca; Dos Reis, Ricardo.
Afiliação
  • Zanon JR; Department of Nephrology and Palliative Care, Jales Cancer Hospital (a Barretos Cancer Hospital unit-Pio XII Foundation), Jales, Brazil.
  • Durante H; Department of Interventional Radiology, Barretos Cancer Hospital-Pio XII Foundation, Barretos, Brazil.
  • Nóbrega LM; Department of Gynecologic Oncology, Barretos Cancer Hospital-Pio XII Foundation, Barretos, Brazil.
  • Accorsi G; Department of Gynecologic Oncology, Catanduva Medical School, Catanduva, Brazil.
  • Pedrão PG; Department of Mastology and Gynecological Oncology, São José de Rio Preto Medical School, São José do Rio Preto, Brazil.
  • Dos Reis R; Molecular Oncology Research Center, Barretos Cancer Hospital-Pio XII Foundation, Barretos, Brazil.
SAGE Open Med Case Rep ; 11: 2050313X231182532, 2023.
Article em En | MEDLINE | ID: mdl-37389405
Emphysematous pyelonephritis is a severe kidney infection that is common in women and patients with diabetes mellitus, but rare in cancer patients. A 64-year-old patient with advanced uterine cervical cancer developed emphysematous pyelonephritis after urine diversion by percutaneous nephrostomy of the left kidney, which is a possible approach to this infection. Antibiotic therapy was started to achieve clinical improvement and preserve renal function, and radical nephrectomy was not an option due to the functional exclusion of the contralateral kidney. The patient progressed with worsening renal function; thus, she started outpatient hemodialysis, with improvement of the uremic encephalopathy. She died 7.7 months after admission, 1 month after treatment for emphysematous pyelonephritis. Treatment should be adjusted to the patients' needs, including maintenance of hemodialysis to improve symptoms. Further investigation is needed to identify possible causes and prevent emphysematous pyelonephritis in cancer patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: SAGE Open Med Case Rep Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Prognostic_studies Idioma: En Revista: SAGE Open Med Case Rep Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido