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lüll Bilateral emphysematous pyelonephritis cured by antibiotics alone: a case and literature review Shigemura K; Yasufuku T; Yamashita M; Arakawa S; Fujisawa MJpn J Infect Dis 2009[May]; 62 (3): 206-8Emphysematous pyelonephritis (EPN) is a rare but severe infectious disease. This disease sometimes presents bilaterally, making it difficult to cure. Diabetes mellitus is a common cofactor in this disease. Drainage or nephrectomy, often combined with antibiotics, is ordinarily used for treatment. To our knowledge, only 8 cases of bilateral EPN cured by antibiotics alone have been reported. We report the case of an 86-year-old woman with bilateral EPN cured by antibiotic therapy alone, thus avoiding surgery or drainage in a frail elderly patient.|Abdomen/pathology[MESH]|Aged, 80 and over[MESH]|Anti-Bacterial Agents/*therapeutic use[MESH]|Bacteria, Anaerobic/isolation & purification[MESH]|Bacterial Infections/*diagnosis/diagnostic imaging/*drug therapy[MESH]|Emphysema/*diagnosis/diagnostic imaging/drug therapy[MESH]|Female[MESH]|Humans[MESH]|Pyelonephritis/*diagnosis/diagnostic imaging/*drug therapy[MESH]|Radiography, Abdominal[MESH]|Tomography, X-Ray Computed[MESH]|Urine/microbiology[MESH] |