Abstract

Background: EPN is a severe necrotizing infection of the kidney and its surroundings. It is an uncommon infection, occurring mostly in patients with diabetes and more commonly in females. It has a high mortality rate if not treated by early intervention or by surgical approach. Case report: We herein report a case with diagnosed diabetes mellitus admitted to the emergency room with symptoms of pyelonephritis. With the help of radiological modalities, we were able to find gas in the renal parenchyma, which established the diagnosis of EPN. The patient was treated successfully. Conclusion: EPN is a medical emergency so after early diagnosis, It requires proper attention in the selection of treatment so that we can avoid high mortality related to this condition.