Journal of Diabetes and Its Complications
Volume 24, Issue 3 , Pages 214-216, May 2010

Diabetic ketoacidosis presenting with emphysematous pyelonephritis

Department of Internal Medicine, Division of Endocrinology and Metabolism, Ain-Shams University Hospitals, Abbassieh, Cairo, Egypt

Received 7 August 2008; accepted 22 December 2008. published online 23 February 2009.

Abstract 

Mr. A.M.A. is 28-year-old Egyptian male patient who presented to the ER with diabetic ketoacidosis (DKA) and left loin pain of 3 weeks duration. The patient had a history of hospital admission 5 months earlier because of urinary tract infection and DKA. Workup of this clinical case revealed emphysematous pyelonephritis.

Abbreviations: DKA, diabetic ketoacidosis, UTI, urinary tract infection, ABG, arterial blood gases, CBC, complete blood count, WBCs, white blood cells, Hb, hemoglobin, CT scan, computed tomography scan.

Keywords: Diabetic ketoacidosis, Necrotizing infection, Urinary tract infection, Emphysematous pyelonephritis, Sympathetic pleural effusion

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PII: S1056-8727(08)00128-1

doi:10.1016/j.jdiacomp.2008.12.010

Journal of Diabetes and Its Complications
Volume 24, Issue 3 , Pages 214-216, May 2010