{"id":"https://openalex.org/W4294281690","doi":"https://doi.org/10.3329/bju.v24i2.59492","title":"Surgical Intervention for Emphysematous Pyelonephritis \u2013 Our Experience","display_name":"Surgical Intervention for Emphysematous Pyelonephritis \u2013 Our Experience","publication_year":2022,"publication_date":"2022-09-02","ids":{"openalex":"https://openalex.org/W4294281690","doi":"https://doi.org/10.3329/bju.v24i2.59492"},"language":"en","primary_location":{"id":"doi:10.3329/bju.v24i2.59492","doi":"https://doi.org/10.3329/bju.v24i2.59492","is_oa":true,"landing_page_url":"https://doi.org/10.3329/bju.v24i2.59492","pdf_url":null,"source":{"id":"https://openalex.org/S4210193650","display_name":"Bangladesh Journal of Urology","issn_l":"2304-8514","issn":["2304-8514","2304-8522"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bangladesh Journal of Urology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.3329/bju.v24i2.59492","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Mohammad Abdul Aziz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800391996","display_name":"Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders","ror":"https://ror.org/047mvza98","country_code":"BD","type":"healthcare","lineage":["https://openalex.org/I2800391996"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Mohammad Abdul Aziz","raw_affiliation_strings":["Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I2800391996"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Shafiqur Rahman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800391996","display_name":"Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders","ror":"https://ror.org/047mvza98","country_code":"BD","type":"healthcare","lineage":["https://openalex.org/I2800391996"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Shafiqur Rahman","raw_affiliation_strings":["Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I2800391996"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086165509","display_name":"Mirza Mahbubul Hasan","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800391996","display_name":"Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders","ror":"https://ror.org/047mvza98","country_code":"BD","type":"healthcare","lineage":["https://openalex.org/I2800391996"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Mirza Mahbubul Hasan","raw_affiliation_strings":["Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I2800391996"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032722134","display_name":"ATM Mowladad Chowdhury","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800391996","display_name":"Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders","ror":"https://ror.org/047mvza98","country_code":"BD","type":"healthcare","lineage":["https://openalex.org/I2800391996"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"ATM Mowladad Chowdhury","raw_affiliation_strings":["Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I2800391996"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079136186","display_name":"Md Abu Faisal Chowdhury","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800391996","display_name":"Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders","ror":"https://ror.org/047mvza98","country_code":"BD","type":"healthcare","lineage":["https://openalex.org/I2800391996"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Md Abu Faisal Chowdhury","raw_affiliation_strings":["Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Urology, BIRDEM General Hospital, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I2800391996"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040869590","display_name":"Muhammad Abdur Rahim","orcid":"https://orcid.org/0000-0002-1280-9144","observed_orcids":["https://orcid.org/0000-0002-1280-9144"]},"institutions":[{"id":"https://openalex.org/I2800391996","display_name":"Bangladesh Institute of Research and Rehabilitation for Diabetes Endocrine and Metabolic Disorders","ror":"https://ror.org/047mvza98","country_code":"BD","type":"healthcare","lineage":["https://openalex.org/I2800391996"]}],"countries":["BD"],"is_corresponding":false,"raw_author_name":"Muhammad Abdur Rahim","raw_affiliation_strings":["Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nephrology, BIRDEM General Hospital, Dhaka, Bangladesh","institution_ids":["https://openalex.org/I2800391996"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800391996"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.1446438,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"24","issue":"2","first_page":"181","last_page":"187"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11232","display_name":"Urinary Tract Infections Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11232","display_name":"Urinary Tract Infections Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10606","display_name":"Kidney Stones and Urolithiasis Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11174","display_name":"Pediatric Urology and Nephrology Studies","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/emphysematous-pyelonephritis","display_name":"emphysematous pyelonephritis","score":1.0},{"id":"https://openalex.org/keywords/surgical-management","display_name":"surgical management","score":0.7360000014305115},{"id":"https://openalex.org/keywords/nephrectomy","display_name":"nephrectomy","score":0.8429999947547913},{"id":"https://openalex.org/keywords/double-j-stenting","display_name":"double-J stenting","score":0.6800000071525574},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.6660000085830688},{"id":"https://openalex.org/keywords/ct-image-classification","display_name":"CT image classification","score":0.5690000057220459},{"id":"https://openalex.org/keywords/escherichia-coli","display_name":"Escherichia coli","score":0.9319999814033508},{"id":"https://openalex.org/keywords/diabetes-comorbidity","display_name":"diabetes comorbidity","score":0.5730000138282776},{"id":"https://openalex.org/keywords/multidisciplinary-care","display_name":"multidisciplinary care","score":0.5699999928474426}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9335914850234985},{"id":"https://openalex.org/C26254459","wikidata":"https://www.wikidata.org/wiki/Q577238","display_name":"Adipose capsule of kidney","level":3,"score":0.5760864615440369},{"id":"https://openalex.org/C2781040948","wikidata":"https://www.wikidata.org/wiki/Q730877","display_name":"Hydronephrosis","level":3,"score":0.5568467378616333},{"id":"https://openalex.org/C2780227381","wikidata":"https://www.wikidata.org/wiki/Q1357376","display_name":"Nephrectomy","level":3,"score":0.5525481700897217},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.5329286456108093},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5009300708770752},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.4228639602661133},{"id":"https://openalex.org/C2780091579","wikidata":"https://www.wikidata.org/wiki/Q9377","display_name":"Kidney","level":2,"score":0.3854311406612396},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3657933473587036},{"id":"https://openalex.org/C77411442","wikidata":"https://www.wikidata.org/wiki/Q181100","display_name":"Urinary system","level":2,"score":0.3207818269729614},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.3329/bju.v24i2.59492","doi":"https://doi.org/10.3329/bju.v24i2.59492","is_oa":true,"landing_page_url":"https://doi.org/10.3329/bju.v24i2.59492","pdf_url":null,"source":{"id":"https://openalex.org/S4210193650","display_name":"Bangladesh Journal of Urology","issn_l":"2304-8514","issn":["2304-8514","2304-8522"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bangladesh Journal of Urology","raw_type":"journal-article"},{"id":"pmh:oai:banglajol.info:article/59492","doi":null,"is_oa":true,"landing_page_url":"https://www.banglajol.info/index.php/BJU/article/view/59492","pdf_url":"https://www.banglajol.info/index.php/BJU/article/download/59492/42084","source":{"id":"https://openalex.org/S4210193650","display_name":"Bangladesh Journal of Urology","issn_l":"2304-8514","issn":["2304-8514","2304-8522"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"2304-8514","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.3329/bju.v24i2.59492","doi":"https://doi.org/10.3329/bju.v24i2.59492","is_oa":true,"landing_page_url":"https://doi.org/10.3329/bju.v24i2.59492","pdf_url":null,"source":{"id":"https://openalex.org/S4210193650","display_name":"Bangladesh Journal of Urology","issn_l":"2304-8514","issn":["2304-8514","2304-8522"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bangladesh Journal of Urology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4294281690.pdf","grobid_xml":"https://content.openalex.org/works/W4294281690.grobid-xml"},"referenced_works_count":20,"referenced_works":["https://openalex.org/W21950513","https://openalex.org/W1974633579","https://openalex.org/W2020496712","https://openalex.org/W2025052174","https://openalex.org/W2061042850","https://openalex.org/W2085174319","https://openalex.org/W2093572717","https://openalex.org/W2100752418","https://openalex.org/W2121343663","https://openalex.org/W2317783968","https://openalex.org/W2413982134","https://openalex.org/W2419287622","https://openalex.org/W2465123373","https://openalex.org/W2754756523","https://openalex.org/W2966653260","https://openalex.org/W2989661273","https://openalex.org/W4234436422","https://openalex.org/W4252298771","https://openalex.org/W4299336803","https://openalex.org/W6823160057"],"related_works":["https://openalex.org/W3155302686","https://openalex.org/W4410104597","https://openalex.org/W4407062765","https://openalex.org/W3182371965","https://openalex.org/W6911655720","https://openalex.org/W2956894312","https://openalex.org/W3033171490","https://openalex.org/W1752409207","https://openalex.org/W2123423906","https://openalex.org/W2566519214"],"abstract_inverted_index":{"Introduction:":[0],"Emphysematous":[1],"pyelonephritis":[2],"(EPN)":[3],"is":[4,11,264],"considered":[5],"a":[6,259],"rare":[7],"renal":[8,25,113],"infection.":[9],"It":[10],"an":[12],"acute":[13,105],"severe":[14],"necrotizing":[15],"infection":[16,213],"resulting":[17],"in":[18,23,215,225,244,262],"the":[19,24,37,82,142,167],"production":[20],"of":[21,46,76,204,246,250],"gas":[22],"parenchyma,":[26],"collecting":[27],"system":[28],"or":[29,119],"perinephric":[30],"tissue.":[31],"In":[32],"this":[33],"report,":[34],"we":[35],"describe":[36],"clinical,":[38],"laboratory":[39,135],"and":[40,43,71,123,144,159,197,236],"imaging":[41],"findings":[42],"in-hospital":[44],"outcomes":[45],"EPN":[47,149,153,157,162],"patients":[48,78],"who":[49],"underwent":[50],"different":[51],"surgical":[52],"procedures.":[53],"Method:":[54],"This":[55],"prospective":[56],"observational":[57],"study":[58,83],"was":[59,133,166,207,220],"carried":[60],"out":[61],"at":[62],"BIRDEM":[63],"General":[64],"Hospital,":[65],"Dhaka,":[66],"Bangladesh":[67,266],"between":[68],"January":[69],"2018":[70],"November":[72],"2021.":[73],"Result:A":[74],"total":[75],"29":[77],"were":[79],"recruited":[80],"to":[81,140,241],"(mean":[84],"age":[85],"52.18":[86],"+":[87,201,209],"8.352":[88],"year;":[89],"range":[90],"40":[91],"\u2013":[92],"68":[93],"year)":[94],"including":[95],"female":[96],"predominance":[97],"(89.7%).":[98],"Comorbidities":[99],"includes":[100,181],"diabetes":[101],"(96.55%),":[102],"hypertension":[103],"(58.6%),":[104,108],"kidney":[106,110],"injury":[107],"chronic":[109],"disease":[111],"(37.9%),":[112],"stones":[114],"(20.7%),":[115],"associated":[116],"hydronephrosis":[117],"(HDN)":[118],"hydroureteronephrosis":[120],"(HDUN)":[121],"(27.6%)":[122],"multiple":[124],"comorbidities":[125],"(93.1%).":[126],"Neutrophilic":[127],"leucocytosis":[128],"with":[129,177,188,193,217,232,253,258],"poor":[130],"glycaemic":[131],"status":[132],"common":[134,169],"findings.":[136],"CT":[137],"scan":[138],"used":[139],"confirm":[141],"diagnosis":[143],"classify":[145],"EPN.":[146,247],"Class":[147],"2":[148],"(17%),":[150],"class":[151,155,160],"3A":[152],"(26%),":[154],"3B":[156],"(46%)":[158],"4":[161],"(11%).":[163],"Escherichia":[164],"coli":[165],"most":[168],"organism":[170],"identified":[171],"on":[172],"urine":[173],"culture":[174],"(62%).":[175],"Along":[176],"medical":[178,234],"management,":[179],"intervention":[180],"DJ":[182],"stenting":[183],"(24.1%),":[184],"incision":[185,251],"drainage":[186,252],"(I/D)":[187],"primary":[189,218,254],"closure":[190,219,256],"(65.5%),":[191],"I/D":[192,216],"open":[194],"wound":[195,255],"(6.9%)":[196],"nephrectomy":[198],"(3.4%).":[199],"Mean":[200],"SD":[202],"duration":[203],"drain":[205,260],"tube":[206,261],"12.36":[208],"4.83":[210],"days.":[211],"Wound":[212],"rate":[214],"15.8%.":[221],"No":[222],"patient":[223],"died":[224],"our":[226],"series.":[227],"Conclusion:":[228],"Multidisciplinary":[229],"team":[230],"approach":[231],"aggressive":[233],"management":[235,245],"timely":[237],"interventions":[238],"are":[239],"key":[240],"decrease":[242],"mortality":[243],"The":[248],"result":[249],"along":[257],"situ":[263],"promising.":[265],"J.":[267],"Urol.":[268],"2021;":[269],"24(2):":[270],"181-187":[271]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2022-09-02T00:00:00"}