Robert Nisbet, M.D.

Diabetic Patient Presents with Nausea, Vomiting, Sepsis

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Emphysematous pyelonephritis
- Enlarged, destroyed renal parenchyma replaced with air and fluid
- Air can extend into perinephric fat, retroperitoneum, and into the ureter



- More common in females
- Majority of patients have uncontrolled diabetes mellitus 1
- This can also be seen in immunocompromised patients
- Treatment: Intravenous antibiotics and percutaneous catheter drainage of collections. Severe cases may require nephrectomy.

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Patient with uncontrolled diabetes presents with nausea and vomiting, sepsis. What is the most likely diagnosis?


Robert Nisbet, M.D.

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Image IQ Quiz: Diabetic Patient Presents with Nausea, Vomiting, Sepsis