{"id":6625,"date":"2023-05-15T04:12:04","date_gmt":"2023-05-15T04:12:04","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?p=6625"},"modified":"2025-04-09T11:38:32","modified_gmt":"2025-04-09T11:38:32","slug":"quiz-of-the-month","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-may-2023\/quiz-of-the-month\/","title":{"rendered":"Quiz Of The Month"},"content":{"rendered":"<p class=\"caps\">[vc_row][vc_column][vc_column_text]<\/p>\n<h2><strong>CLINICAL HISTORTY:<\/strong><\/h2>\n<ul>\n<li>Fever with chills and tiredness.<\/li>\n<li>History of Right kidney DJ stenting for pyelonephritis; DJ stent removed on 29.03.2023.<\/li>\n<\/ul>\n<h2><strong>IMAGING FINDING:<\/strong><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6627 alignnone\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-9-1-300x291.jpg\" alt=\"\" width=\"300\" height=\"291\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-9-1-300x291.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-9-1.jpg 336w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>Fig:<\/strong> shows bulky with air pocket with hypodense lesion<\/p>\n<h2><strong>CT FINDINGS:<\/strong><\/h2>\n<p><strong>Right kidney appears diffusely enlarged in size\u00a0<\/strong><\/p>\n<ul>\n<li>A large hypodense (average HU +24) lesion measuring about 8.9 x 7.6 cm in its maximum dimension noted in the interpolarregion kidney extending to perinephric space.<\/li>\n<li>Few air loculi noted in the mid pole calyces.<\/li>\n<li>Adjacent diffuse perinephric fat stranding with thickening of the pararenal fascia.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6628 alignnone\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-8-300x231.jpg\" alt=\"\" width=\"300\" height=\"231\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-8-300x231.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-8.jpg 470w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>Fig: <\/strong>shows\u200b mildly bulky left kidney with air loculi\u00a0 involving all the calyces. Mild perinephric fat stranding with thickening of the pararenal fascia.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6629 alignnone\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-9-2-300x291.jpg\" alt=\"\" width=\"300\" height=\"291\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-9-2-300x291.jpg 300w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/05\/New-Project-9-2.jpg 336w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<p><strong>Fig: <\/strong>Air fluid level noted within the urinary bladder with no evidence of intramural gas\/\u00a0perivesical fat stranding.<\/p>\n<hr style=\"height: 2px; border-width: 0; color: gray; background-color: gray;\" \/>\n<h2 style=\"color: #98246a;\"><strong>ANSWER:<\/strong><\/h2>\n<p>Emphysematous pyelonephritis is an acute severe necrotizing infection of renal parenchyma and its surrounding tissues that results in presence of gas in the renal parenchyma, collecting system or perinephric tissue.<\/p>\n<hr style=\"height: 2px; border-width: 0; color: gray; background-color: gray;\" \/>\n<h2><strong>DISCUSSION:<\/strong><\/h2>\n<p style=\"text-align: justify;\">Emphysematous pyelonephritis (EPN) is a severe, life-threatening infection of the kidney that is characterized by the presence of gas within the renal parenchyma and\/or collecting system. It typically occurs in individuals with poorly controlled diabetes, urinary tract obstruction, or other immunocompromising conditions.<\/p>\n<p style=\"text-align: justify;\">EPN is considered a medical emergency, and immediate treatment is necessary to prevent serious complications such as sepsis, renal failure, and death. Treatment typically involves a combination of antibiotics, aggressive fluid resuscitation, and sometimes surgical intervention.<\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-6004 size-thumbnail\" src=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/01\/kanagasabai-150x150.jpg\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/01\/kanagasabai-150x150.jpg 150w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/01\/kanagasabai-298x300.jpg 298w, https:\/\/www.kauveryhospital.com\/ima-journal\/wp-content\/uploads\/2023\/01\/kanagasabai.jpg 300w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/>Dr Kanagasabai<br \/>\n<\/strong><em>Consultant Radiologist<\/em>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] CLINICAL HISTORTY: Fever with chills and tiredness. History of Right kidney DJ stenting for pyelonephritis; DJ stent removed on 29.03.2023. IMAGING FINDING: Fig: shows bulky with air pocket with<\/p>\n","protected":false},"author":2,"featured_media":6642,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-6625","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ima-journal-may-2023"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quiz Of The Month<\/title>\n<meta name=\"description\" content=\"Emphysematous pyelonephritis is an acute severe necrotizing infection of renal parenchyma.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-may-2023\/quiz-of-the-month\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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