Background A 54-year-old nondiabetic male presented with high fever, vague lower abdominal pain and leakage of urine around his long-standing suprapubic catheter. Examination revealed pyrexia and ...

Urinary tract infections (UTIs) are a common burden in patients with diabetes mellitus. Cystitis, ascending infections leading to pyelonephritis, emphysematous complications and renal and perinephric ...

Patients with emphysematous pyelonephritis (EPN) are usually treated with antibiotic therapy, emergency nephrectomy and/or open surgical drainage; however, these conventional treatments have a high ...

A 48-year-old woman presented to the emergency department with three days of fever, along with rigors, left flank pain and oliguria. She had diabetic nephropathy with a baseline serum creatinine level ...

We received 1162 responses to this medical mystery — 55% from physicians in practice, 19% from physicians in training, 13% from medical students, and 13% from other readers. Responses were received ...