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Acute bilateral emphysematous pyelonephritis successfully managed by medical therapy alone: A case report and review of the literature

Published by National Institutes of Health | U.S. Department of Health & Human Services | Metadata Last Checked: September 07, 2025 | Last Modified: 2025-09-06
Background Bilateral emphysematous pyelonephritis is a life threatening condition usually occurring in diabetics. Management of this condition has traditionally been aggressive and surgery is considered mandatory. However, this is itself a hazardous intervention in a septic, unstable patient with circulatory or liver failure. When bilateral disease is present, the need for long-term dialysis is obviously unavoidable. Case presentation We herein report one of the few cases of bilateral emphysematous pyelonephritis successfully managed by non-surgical treatment.

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