{
  "abstract": "Emphysematous pyelonephritis (EPN) is a rare, life-threatening necrotizing renal infection predominantly affecting diabetics. We report a 66-year-old female with uncontrolled type 2 diabetes who presented with right flank pain and fever. CT confirmed Class 2 EPN with gas confined to the renal parenchyma. Blood cultures grew Escherichia coli. She was successfully managed conservatively with imipenem-cilastatin, fluid resuscitation, and insulin therapy, avoiding surgery. This case highlights CT's role in early EPN diagnosis and demonstrates that tailored medical management can be a nephron-sparing alternative in selected patients.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Infectious Diseases, The Fifth Clinical Medical College of Henan University of Chinese Medicine, People's Hospital of Zhengzhou, Zhengzhou, China.",
    "Department of Emergency, The Fifth Clinical Medical College of Henan University of Chinese Medicine, People's Hospital of Zhengzhou, Zhengzhou, China."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ya Gao"
    },
    {
      "affs": [
        1
      ],
      "name": "JianKai Gao"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fpd4zwvph880q.bib",
  "cited_by": 0,
  "doi": "10.1016/j.radcr.2026.09.055",
  "fulltext_url": "https://europepmc.org/articles/PMC13684996",
  "id": "fpd4zwvph880q",
  "issns": [
    "1930-0433"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910099",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2713|Urinary Tract Infections Management"
    ]
  ],
  "openalex": "W7221693811",
  "pdf_url": "https://europepmc.org/articles/PMC13684996?pdf=render",
  "pmcid": "PMC13684996",
  "pmid": "42910099",
  "published": "2026-10-13",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/fpd4zwvph880q.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42910099",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910099"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Urinary Tract Infections Management",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Emphysematous pyelonephritis in a diabetic patient: A case report highlighting diagnostic challenges and successful conservative management.",
  "title_text": "Emphysematous pyelonephritis in a diabetic patient: A case report highlighting diagnostic challenges and successful conservative management.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/fpd4zwvph880q",
  "venue": "Radiology case reports",
  "versions": []
}