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November 28, 1994

The Disappearing Kidney: A Case of Emphysematous Pyelonephritis

Author Affiliations

From the Departments of Medicine (Drs Goyzueta and Kahn), Radiology (Drs Katz and Dumitrescu), and Pathology (Dr Choi), Bronx (NY) Veterans Affairs Medical Center, and Mount Sinai School of Medicine, New York, NY. Dr Goyzueta is now with the Division of Nephrology, Department of Medicine, Queens Hospital Center, Jamaica, NY.

Arch Intern Med. 1994;154(22):2613-2615. doi:10.1001/archinte.1994.00420220113013

We describe a case of bilateral emphysematous pyelonephritis in which the left kidney could not be visualized sonographically because of multiple irregular air-fluid interfaces. This observation, which to our knowledge has been noted only once before in the literature, may be a diagnostic clue to this potentially fatal disease.

(Arch Intern Med. 1994;154:2613-2615)

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