DOI: 10.36347/sjmcr.2021.v09i12.010

Pages: 1154-1156

Emphysematous urinary tract infections (EUI) are rare life-threatening infections that are often found in diabetic patients with a predilection for females. Emphysematous pyelonephritis (EPN) is more frequently reported than emphysematous cystitis (EC). However, concurrent occurrence has been reported as well. On the other hand, ureteric involvement in cases of EUI has not been described well in the literature. Treatment should be aggressive as the rate of death can be as high as 15.4%. Early surgical intervention has been described for severe infections. However, conservative approach has also been adopted especially in cases where preserving kidney function is of utmost importance. We present a 22-year-old lady who is known to have chronic kidney disease, bladder dysfunction and multiple reconstructive urological procedures, presented with emphysematous urinary tract infection affecting the whole urinary system (both kidneys, ureters and urinary bladder), which was successfully treated in a nephron sparing approach.