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Case report


Necrotizing Fasciitis of Thoracic and Abdominal Wall with Emphysematous Pyelonephritis and Retroperitoneal Abscess.

Sanjay Mhalasakant KhaladkarKunaal Mahesh JainRajesh KuberSidappa Gandage
Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Dr. D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
Date of Submission: 02-Aug-2017, Date of Acceptance: 18-Nov-2017, Date of Web Publication: 21-Feb-2018.
Corresponding Author:
Corresponding Author

Sanjay Mhalasakant Khaladkar

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
E-mail: drsanjaymkhaladkar@gmail.com

Corresponding Author:
Corresponding Author

Sanjay Mhalasakant Khaladkar

Department of Radio-Diagnosis, Dr. D. Y. Patil Medical College and Research Center, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India.
E-mail: drsanjaymkhaladkar@gmail.com

DOI: 10.4103/jcis.JCIS_56_17 Facebook Twitter Google Linkedin

ABSTRACT


Emphysematous pyelonephritis is a life-threatening severe form of pyelonephritis usually occurring in patients with diabetes mellitus with or without obstructive uropathies in whom there is necrotizing infection leading to the gas production of an unclear mechanism involving the renal parenchyma and the collecting system. Necrotizing fasciitis is characterized by progressive necrosis of fat and fascia due to deep-seated infection of subcutaneous tissue. It has a fulminant course with considerable mortality. Diabetes Mellitus is a common predisposing factor. The combined occurrence of emphysematous pyelonephritis and necrotizing fasciitis is extremely unusual. Early recognition and management is mandatory to avoid mortality. We report a case of a 53-year-old female, a known case of Type II diabetes mellitus, who presented with necrotizing fasciitis of thoracic and abdominal wall with emphysematous pyelonephritis in the left kidney with a retroperitoneal abscess.
Keywords: Diabetes mellitus, emphysematous pyelonephritis, lumbar triangle, necrotizing fasciitis, retroperitoneal abscess

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