Evidence map›Paper›PMID 39465368›Full record

ArticleBMC nephrology2024

Emphysematous pyelonephritis caused by Raoultella ornithinolytica: a case report.

Meng Sun, Xiaobao Wei, Xinyu Xiang, Ting Zhang, Yiwen Zhang, Jiayi Miao, Juanyu Wei, Wei Cao, Qing Yao, Lin Zhu and 2 more

Erratum issuedAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Meng Sun *Department of Nephrology, Lianyungang Clinical College of Nanjing Medical University, The First People's Hospital of Lianyungang, 6 Zhenhua East Road, Lianyungang, 222002, China.
Xiaobao Wei *Department of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Xinyu XiangDepartment of Nephrology, Lianyungang Clinical College of Nanjing Medical University, The First People's Hospital of Lianyungang, 6 Zhenhua East Road, Lianyungang, 222002, China.
Ting ZhangDepartment of Nephrology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Yiwen ZhangDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Jiayi MiaoDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Juanyu WeiDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Wei CaoDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Qing YaoDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Lin ZhuDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Ying ZhouDepartment of Nephrology, The First People's Hospital of Lianyungang, Lianyungang, 222002, China.
Liyuan ZhangDepartment of Nephrology, Lianyungang Clinical College of Nanjing Medical University, The First People's Hospital of Lianyungang, 6 Zhenhua East Road, Lianyungang, 222002, China. zlylygyy@163.com.ORCID 0000-0002-5574-9727

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmphysematous pyelonephritis is a rare and severe urinary tract infection that is potentially life-threatening and easily progresses to septic shock. In this report, we present a unique case of emphysematous pyelonephritis caused by Raoultella ornithinolytica. CASE PRESENTATION: An 86-year-old man presented with severe back pain of 3 days' duration. He had a history of hypertension and diabetes for more than 20 years, and his infection indicators and serum creatinine were elevated. Abdominal computed tomography revealed an abnormal gas shadow around his right kidney and the anterior edge of his right psoas muscle. Consequently, he was initially diagnosed with emphysematous pyelonephritis. There was no evidence of nephrolithiasis or other anatomical or structural abnormalities that could have precipitated this focal renal infection. Both blood and drainage fluid cultures revealed R. ornithinolytica. After early anti-infection treatment, percutaneous drainage and moderate control of blood glucose, the patient gradually recovered.

conclusionsEmphysematous pyelonephritis caused by R. ornithinolytica is rare but has a high drug resistance rate potentially and may cause severe infections. Early diagnosis, prompt use of antibiotics that are sensitive to the organism, and decompression drainage could be the key to treatment.

Indexed as

EmphysemaEnterobacteriaceaeEnterobacteriaceae InfectionsPyelonephritisAged, 80 and overAnti-Bacterial AgentsHumansMaleAnti-Bacterial AgentsCase reportDiabetesEmphysematous pyelonephritisInfectionRaoultella ornithinolytica

Identifiers

PMID39465368
PMCPMC11514820

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Registered trials

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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.