Evidence map›Paper›PMID 42211946›Full record

ArticleUrology case reports2026

Emphysematous pyelonephritis: The silent March to mycotic aortic aneurysm- A catastrophic vascular complication in a diabetic patient.

K P Nirmal, G Manoj Kumar, K B Vismaya, Sreenath Sreedharan, Sharoo Shaneej, Ramkumar Aiyappan, Anith P Sen, Ritu Raj, B Shilpa

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Urology case reports, 2026. 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
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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

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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.

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

9 authors.

K P NirmalUrology, Government Medical College, Thiruvananthapuram, India.
G Manoj KumarUrology, Government Medical College, Thiruvananthapuram, India.
K B VismayaUrology, Government Medical College, Thiruvananthapuram, India.
Sreenath SreedharanNephrology, Government Medical College, Thiruvananthapuram, India.
Sharoo ShaneejUrology, Government Medical College, Thiruvananthapuram, India.
Ramkumar AiyappanUrology, Government Medical College, Thiruvananthapuram, India.
Anith P SenUrology, Government Medical College, Thiruvananthapuram, India.
Ritu RajUrology, Government Medical College, Thiruvananthapuram, India.
B ShilpaUrology, Government Medical College, Thiruvananthapuram, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emphysematous pyelonephritis (EPN) complicated by mycotic aortic aneurysm remains exceptionally rare; only one prior case exists in the literature (1993). We describe the second - a middle-aged diabetic male with EPN Class I/II and obstructive urolithiasis who improved following ureteral stenting and antibiotics. Two months later, CT aortogram showed complete resolution of renal gas but new peri-aortic inflammation and a saccular mycotic aneurysm at L3, confirming insidious vascular seeding despite apparent urological recovery. Extensive iliofemoral venous thrombosis was noted. The patient succumbed despite maximal management. This case highlights vigilance for vascular complications in diabetic EPN patients with aortic calcification, DVT.

Indexed as

Aortic calcificationCase reportDiabetes mellitusDVTEmphysematous pyelonephritisEscherichia coliMycotic aneurysmUrosepsisVascular complications

Identifiers

PMID42211946
PMCPMC13213636

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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.