Evidence map›Paper›PMID 36123660›Full record

ReviewBMC urology2022

Venous gas caused by emphysematous pyelonephritis: a case report and review of literature.

Xue Dong, Shuzong You, Huangqi Zhang, Dongnv Wang, Wenting Pan, Binhao Zhang, Shanqiang Huang, Xin Li, Jianxin Pang, Wenbin Ji

Open access · goldAbstract readCase ReportsReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BMC urology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 6 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Xue DongDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Shuzong YouDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Huangqi ZhangDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Dongnv WangDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Wenting PanDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Binhao ZhangDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Shanqiang HuangDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Xin LiDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Jianxin PangDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China.
Wenbin JiDepartment of Radiology, Taizhou Hospital, Zhejiang University, Taizhou, 318000, Zhejiang, China. wb.j@163.com.ORCID http://orcid.org/0000-0002-1609-8925
Wenzhou Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmphysematous pyelonephritis (EPN) is a potentially life-threatening disease caused by a gas-producing necrotizing bacterial infection that involves the renal parenchyma, collecting system, and/or perinephric tissue. EPN is often complicated by a previous diagnosis of diabetes mellitus, and venous air bubbles are an uncommon complication of it. We describe a 52-year-old woman who was admitted in coma, with a history of vomiting, and was found to have EPN with air bubbles in the uterine veins. We discuss the presentation, diagnosis, and pathogenesis of this uncommon but clinically significant event, and briefly review other case reports of venous gas or thrombosis caused by EPN. CASE PRESENTATION: We report the case of a 52-year-old woman with past history of type 2 diabetes mellitus, presenting with loss of consciousness after vomiting for half a day. Abdominal computed tomography scan revealed unilateral EPN with air bubbles in the uterine veins. The blood, pus, and urine cultures were positive for extended-spectrum beta-lactamase-producing Escherichia coli. The patient's condition improved well after conservative management comprising supportive measures, broad-spectrum antibiotics, percutaneous drainage therapy, and an open operation.

conclusionsVenous air bubbles are rare but fatal complication of EPN. Early diagnosis and treatment are critical to ensure good results.

Indexed as

Diabetes ComplicationsDiabetes Mellitus, Type 2EmphysemaPyelonephritisAnti-Bacterial Agentsbeta-LactamasesEscherichia coliFemaleHumansMiddle AgedVomitingAnti-Bacterial Agentsbeta-LactamasesEmphysematous pyelonephritisEscherichia coliPathogenesisTreatmentVenous gas

Identifiers

PMID36123660
PMCPMC9487055
OpenAlexW4296458815

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.