Copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2021; 9(11): 2584-2594
Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2584
Published online Apr 16, 2021. doi: 10.12998/wjcc.v9.i11.2584
Point-of-care ultrasound for the early diagnosis of emphysematous pyelonephritis: A case report and literature review
Zhou-Xiong Xing, Wen Zhang, Yu Wang, Chang-Sheng Wang, Tao Chen, Hua-Jun Chen, Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China
Hang Yang, Department of Anesthesiology, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China
Author contributions: Xing ZX reviewed the literature, and contributed to manuscript drafting; Yang H, Zhang W, and Wang CS performed the ultrasonography and contributed to manuscript drafting; Chen T and Wang Y drafted the manuscript; Chen HJ reviewed the literature and was responsible for the intellectual content of the manuscript; All authors issued final approval for the version to be submitted.
Supported by Foundation of Health Commission of Guizhou Province , No. gzwjkj2020-1-021 .
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hua-Jun Chen, MD, Associate Professor, Department of Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, No. 149 Dalian Road, Huichuan District, Zunyi 563000, Guizhou Province, China. 1308732019@qq.com
Received: December 14, 2020
Peer-review started: December 14, 2020
First decision: December 30, 2020
Revised: January 4, 2021
Accepted: February 9, 2021
Article in press: February 9, 2021
Published online: April 16, 2021
Peer-review started: December 14, 2020
First decision: December 30, 2020
Revised: January 4, 2021
Accepted: February 9, 2021
Article in press: February 9, 2021
Published online: April 16, 2021
Core Tip
Core Tip: Emphysematous pyelonephritis (EPN) is a rare but life-threatening infection, and its diagnosis and treatment remain challenging. Point-of-care ultrasound (POCUS) plays an important role in rapidly assessing critically ill patients at the bedside. Here, we report a “falls” sign on the initial POCUS examination in a patient diagnosed with EPN associated with septic shock. We suggest that the “falls” sign may act as an imaging feature for early diagnosis of EPN. The patient was successfully treated with computed tomography-guided percutaneous catheter drainage plus broad-spectrum antibiotic therapy.