Abstract
Emphysematous pyelonephritis (EPN) is a rare necrotizing infection of the renal parenchyma and pelvicalyceal system caused by gas-forming organisms. We describe a novel case of an elderly woman with poorly controlled diabetes mellitus and end-stage renal failure on peritoneal dialysis, who developed polymicrobial EPN involving the Bifidobacterium breve and Klebsiella pneumoniae pathogens. She was successfully treated with culture-directed parenteral antibiotics and percutaneous drainage of renal collections. To our knowledge, B. breve is a previously unreported cause of EPN. This report highlights its potential in causing opportunistic infections in immunocompromised hosts in the appropriate clinical context.
Keywords
Publication details
- DOI
- 10.5001/omj.2025.18
- Journal
- Oman Medical Journal, 40(3)
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
- License
- CC BY-NC 4.0
Cite this article
APA 7
Ng, I. K., Koh, H. K., & Tulsidas, H. (2025). Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis. Oman Medical Journal, 40(3). https://doi.org/10.5001/omj.2025.18
MLA 9
Ng, Isaac KS, et al. "Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis." Oman Medical Journal, vol. 40, no. 3, 2025. https://doi.org/10.5001/omj.2025.18.
Chicago (author–date)
Ng, Isaac KS, Hui Kai Koh, and Haresh Tulsidas. 2025. "Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis." Oman Medical Journal 40 (3). https://doi.org/10.5001/omj.2025.18.
Harvard
Ng, I. K., Koh, H. K. and Tulsidas, H. (2025) 'Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis', Oman Medical Journal, 40(3). doi:10.5001/omj.2025.18.
Vancouver
Ng IK, Koh HK, Tulsidas H. Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis. Oman Medical Journal. 2025;40(3). doi:10.5001/omj.2025.18
IEEE
I. K. Ng, H. K. Koh, and H. Tulsidas, "Polymicrobial Emphysematous Pyelonephritis Secondary to Bifidobacterium breve and Klebsiella pneumoniae in a Diabetic Patient on Peritoneal Dialysis," Oman Medical Journal, vol. 40, no. 3, 2025, doi: 10.5001/omj.2025.18.