risk factors for higher mortality in emphysematous pyelonephritis

Q;  All of the following are risk factors for higher mortality in emphysematous pyelonephritis EXCEPT?

A) thrombocytopenia

B) acute kidney injury

C) confusion

D) hypernatremia

E) septic shock 

Answer: D

Emphysematous pyelonephritis can be devastating. Few risk factors in this regard are

• thrombocytopenia
• diabetes
• obstructive renal failure
• severe sepsis
• older age
• multidrug-resistant organism
• hyponatremia below 130 (choice D)

#ID

References:

1. Huang JJ, Tseng CC. Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med 2000; 160:797.

2. Desai R, Batura D. A systematic review and meta-analysis of risk factors and treatment choices in emphysematous pyelonephritis. Int Urol Nephrol 2022; 54:717.