Jain, S KAgarwal, NChaturvedi, S K2000-01-162009-06-022000-01-162009-06-022000-01-16Jain SK, Agarwal N, Chaturvedi SK. Emphysematous pyelonephritis: a rare presentation. Journal of Postgraduate Medicine. 2000 Jan-Mar; 46(1): 31-2http://imsear.searo.who.int/handle/123456789/116228Emphysematous pyelonephritis is a rare life threatening infection in diabetes characterised by suppurative infection of renal parenchyma and perirenal tissues. It usually presents with fever, nausea, vomiting, abdominal pain, shock, lethargy, and confusion. Diabetic ketoacidosis is an uncommon presentation. In the present case, an elderly female presented with abdominal pain, fever, vomiting, and altered sensorium. She was diagnosed to have diabetic ketoacidosis with metabolic encephalopathy with right emphysematous pyelonephritis. She had an excellent response to medical treatment alone and was later discharged on oral hypoglycaemic agents.engAdultAnti-Bacterial AgentsDiabetic Ketoacidosis --complicationsDiagnosis, DifferentialDrug Therapy, Combination --therapeutic useEmphysema --diagnosisFemaleHumansPyelonephritis --diagnosisTomography, X-Ray ComputedCase Reports