Concurrent emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC) presenting with septic shock

A 51-year-old woman with uncontrolled type-1 diabetes mellitus (DM) presented to our emergency department (ED) with complaints of nausea, vomiting and abdominal pain that started the day before. The pain was described as diffuse and cramping with radiation to the back. She denied having any changes