A patient with uncontrolled diabetes mellitus presented with fever and flank pain. A computed tomography scan showed free air within both collecting systems. A diagnosis of emphysematous pyelitis was made after other alternative diagnoses were ruled out. Urine culture grew Candida tropicalis. The emphysematous pyelitis resolved with conservative management using antifungal therapy.
Alansari, A., Borras, M. D., & Boma, N. (2016). "I have chicken fat in my urine!" A case of candida tropicalis induced emphysematous pyelitis. Medical Mycology Case Reports, 10, 27-28. doi:10.1016/j.mmcr.2016.01.004