ArticleInternational urology and nephrology2019
Emphysematous pyelonephritis treatment strategies in correlation to the CT classification: have the current experience and prognosis changed?
Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Prevalence and Risk Factors of Mortality in Emphysematous Pyelonephritis Patients: A Meta-Analysis.World journal of surgery · 2022Pooled it
- A systematic review and meta-analysis of risk factors and treatment choices in emphysematous pyelonephritis.International urology and nephrology · 2022Pooled it
- Emergency nephrectomy for fulminant emphysematous pyelonephritis mimicking gastroenteritis: A case report.The Journal of international medical research · 2026Article
- Analysis of Pathogenic Bacteria, Drug Resistance and Treatment of Emphysematous Pyelonephritis: A Case Series.Infection and drug resistance · 2026Article
- Emphysematous Urinary Tract Infections in Regional Australia: Retrospective Review of Risk Factors, Microbiology, Management and Outcomes from 38 Cases.Research and reports in urology · 2026Article
- Article
- Case Report: Massive emphysematous pyelonephritis with short-term relapse.Frontiers in medicine · 2025Article
- Clinical image: emphysematous pyelonephritis.Oxford medical case reports · 2024Article
- Emphysematous pyelonephritis caused by Raoultella ornithinolytica: a case report.BMC nephrology · 2024Article
- Article
- Unexpected cause and successful management of typical urinary tract ınfection symptoms: Answers.Pediatric nephrology (Berlin, Germany) · 2021Article
- Point-of-care ultrasound for the early diagnosis of emphysematous pyelonephritis: A case report and literature review.World journal of clinical cases · 2021Article
- CT imaging of acute and chronic pyelonephritis: a practical guide for emergency radiologists.Emergency radiology · 2020Review
- Diabetic ketoacidosis complicated by emphysematous pyelonephritis: a case report and literature review.BMC urology · 2020Review
- Minimally invasive techniques as a first line approach in the management of emphysematous pyelonephritis - A single centre experience.Journal of postgraduate medicineObservational
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn view of the differences in early and late management experiences based on Huang and Tseng CT classification of emphysematous pyelonephritis (EP), our study included 34 patients aimed to re-correlate the current management plans with CT classification.
methodsA retrospective review from January 2009 to December 2018, in patients with primary or final diagnosis of EP. Data included; patients' demographics, routine laboratory and imaging work-up. CT was performed for all, and images were classified based on Huang and Tseng classification. The CT classification was correlated to the laboratory parameters and the final treatment plans. Data were collected and analyzed using SPSS
resultsComplete data for 34 patients were analyzed. The majority (70%) had positive urine culture, and Carbapenems and Ureidopenicillin were the most commonly used antibiotics. Based on CT classification, 75% (26/34) of the patients were in class I and II, 6 cases with class IIIa, and only two with class IIIb, with no cases of class IV. All patients in class I and II responded well to the medical therapy, and eight required PCN/DJ. Four required nephrectomy in class III, with zero mortality.
conclusionPatients in class I and II comprise the majority of EP patients, and respond well to medical treatment with excellent outcome. Insertion of PCN and DJ are not required routinely, but with urinary obstruction requiring drainage, and a few cases who required nephrectomy-all with class III. Our data show improvement in the overall survival in patients for EP.
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