Abstract

PEREZ, Carlos E. et al. Emphysematous pyelonephritis in patient with human immunodeficiency virus infection: A case report. Infect. [online]. 2016, vol.20, n.2, pp.101-106. ISSN 0123-9392.  https://doi.org/10.1016/j.infect.2015.05.002.

Emphysematous pyelonephritis is a necrotising infection of the renal parenchyma that may affect the perirenal tissue. Thus, the spectrum of clinical presentation is variable (septic shock, metabolic acidosis, hyperglycaemia, hypoglycaemia, renal failure, delirium); most cases have been reported in patients with diabetes mellitus or obstructive uropathy. We report the case of a young female patient without diabetes who presented emphysematous pyelonephritis as the condition that led to the diagnosis of HIV infection, without related comorbidities, and who was successfully treated with surgical and antibiotical therapy. A systematic search of the literature revealed that this disease as a condition leading to an initial diagnosis of HIV infection has not been previously reported.

Keywords : Emphysematous pyelonephritis; Human immunodeficiency virus; Immunosuppression.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )