Journal of Clinical Case Reports

Richard Shellenberger

Publications

• Case Report
  Emphysematous Pyelitis Disguised as Cholestasis and Jaundice
  Author(s): Jennifer Hines and Richard ShellenbergerJennifer Hines and Richard Shellenberger
  
  Emphysematous pyelitis is a rare infection of the renal pelvis occurring alone or in association with pyelonephritis. The most common cause is E. coli and diabetes is the strongest risk factor. In a retrospective review including 48 patients who were diagnosed with either emphysematous pyelitis or pyelonephritis, the mean patient age was 60 years old and women outnumbered men 6:12. The most common initial symptoms include fever, dysuria, abdominal pain, and flank pain. The most frequent organ system involvement is hematologic and renal. Our patient, a 76 year old female, with no past medical history, presented with progressive weakness followed by the onset of jaundice. Her exam was notable for hypertension but no fever, jaundice, epigastric/right upper quadrant abdominal tenderness or peritoneal signs. Labs were remarkable for a profound leukocytosis, anemia, cholestasis, and an elev.. Read More»
  DOI: 10.4172/2165-7920.1000846

  Abstract PDF