First report of concurrent mixed germs induced destructive emphysematous pyelonephritis and emphysematous endophthalmitis in the patient with COVID-19

First report of concurrent mixed germs induced destructive emphysematous pyelonephritis and emphysematous endophthalmitis in the patient with COVID-19

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A 35-year-old diabetic woman was referred to the emergency department with fever, left flank pain, pneumaturia, and impaired vision of the left eye from 4 Hayward LED WaterBowl days ago.Fever, tachycardia, tachypnea, low blood pressure, metabolic acidosis, and azotemia were the first findings.The diagnosis was a coincidence of emphysematous pyelonephritis and emphysematous endophthalmitis due to computerized tomography of the patient.Immediate fluid and electrolytes resuscitation, intravenous antibiotic administration, and nephrectomy save Cement Trowel the patient.Urine, blood, and vitreous cultures revealed mixed germ infection.