Pielonefritis enfisematosa en paciente con infección por virus de inmunodeficiencia humana: reporte de caso

Carlos E. Pérez; Carlos A. Botero-García; Fabio M. Sánchez; Luis M. Delgado; Juan S. Bravo-Ojeda; Alejandro Espinal; Carlos Morales-Pertuz; Álvaro A. Faccini-Martínez

doi:10.1016/j.infect.2015.05.002

Pielonefritis enfisematosa en paciente con infección por virus de inmunodeficiencia humana: reporte de caso

Translated title of the contribution: Emphysematous pyelonephritis in patient with human immunodeficiency virus infection: A case report

Carlos E. Pérez
, Carlos A. Botero-García
, Fabio M. Sánchez
, Luis M. Delgado
, Juan S. Bravo-Ojeda
, Alejandro Espinal
, Carlos Morales-Pertuz
, Álvaro A. Faccini-Martínez

Hospital Universitario de la Samaritana
Clínica de Marly
Universidad Militar Nueva Granada
Departamental Universitario Santa Sofía
Hospital Militar Central
Servicios y Asesorías en Infectología (SAI)

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Translated title of the contribution	Emphysematous pyelonephritis in patient with human immunodeficiency virus infection: A case report
Original language	Spanish
Pages (from-to)	101-106
Number of pages	6
Journal	Infectio
Volume	20
Issue number	2
DOIs	https://doi.org/10.1016/j.infect.2015.05.002
State	Published - 1 Apr 2016
Externally published	Yes

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SDG 3 Good Health and Well-being

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10.1016/j.infect.2015.05.002

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title = "Pielonefritis enfisematosa en paciente con infecci{\'o}n por virus de inmunodeficiencia humana: reporte de caso",

abstract = "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 = "Inmunosupresi{\'o}n, Palabras clave Pielonefritis enfisematosa, Virus de inmunodeficiencia humana",

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year = "2016",

month = apr,

day = "1",

doi = "10.1016/j.infect.2015.05.002",

language = "Espa{\~n}ol",

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T2 - reporte de caso

AU - Pérez, Carlos E.

AU - Botero-García, Carlos A.

AU - Sánchez, Fabio M.

AU - Delgado, Luis M.

AU - Bravo-Ojeda, Juan S.

AU - Espinal, Alejandro

AU - Morales-Pertuz, Carlos

AU - Faccini-Martínez, Álvaro A.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - 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.

AB - 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.

KW - Inmunosupresión

KW - Palabras clave Pielonefritis enfisematosa

KW - Virus de inmunodeficiencia humana

UR - https://www.scopus.com/pages/publications/84971569469

U2 - 10.1016/j.infect.2015.05.002

DO - 10.1016/j.infect.2015.05.002

M3 - Artículo

AN - SCOPUS:84971569469

SN - 0123-9392

VL - 20

SP - 101

EP - 106

JO - Infectio

JF - Infectio

IS - 2

ER -

Pielonefritis enfisematosa en paciente con infección por virus de inmunodeficiencia humana: reporte de caso

Abstract

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