Emphysematous pyelonephritis due to Candida albicans in a diabetic patient: A case report

Abstract

Emphysematous pyelonephritis is an infection of the kidney tissue that is necrotizing and gas-producing and primarily affects individuals with diabetes mellitus. We have reported a 67-year-old female with a history of diabetes mellitus and prior urological procedures who developed emphysematous pyelonephritis due to Candida albicans. She was treated with systemic fluconazole and underwent other urological interventions as necessary. But due to persistent fever, irrigation of amphotericin B via nephrostomy was applied for three days after which her fever resolved. She finally recovered and was discharged in a healthy state. This case presentation underscores the complexity of managing fungal pyelonephritis.