Details

Autor(en) / Beteiligte

• Crouter, Andrew J., MD
• Abraham, Michael K., MD
• Wilkerson, R. Gentry, MD

Titel

Emphysematous Pyelonephritis in a Renal Allograft

Ist Teil von

• The American journal of emergency medicine, 2017-03, Vol.35 (3), p.520.e1-520.e2

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Quelle

Access via ScienceDirect (Elsevier)

Beschreibungen/Notizen

• At triage, his vital signs were as follows: blood pressure, 176/86 mm Hg; heart rate, 145 beats per minute; respiratory rate, 32 breaths per minute; and temperature, 40.7°C. On examination, he appeared ill, with tachycardia, tachypnea, and dry mucous membranes. Laboratory studies demonstrated the following values: blood glucose, 518 mg/dL; bicarbonate, 15 mEq/L; lactic acid, 7.2 mg/dL; creatinine, 6.2 mg/dL; white blood cell count, 14.4 x 103/μL; anion gap, 22 mEq/L, and pyuria--findings consistent with acute kidney injury, diabetic ketoacidosis, and sepsis due to a urinary source.