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The present report describes the case of a 53-year-old male patient with solitary functioning right kidney admitted to the emergency room with acute abdominal pain, deranged blood sugar, and fever (38.5 °C). Laboratory investigations and computed tomography findings revealed urinary tract infection, deranged renal functions, raised inflammatory markers associated with the presence of gas in the collecting system, characterizing unilateral emphysematous pyelitis caused by Gram-negative bacteria. The present case report emphasizes the occurrence of this disease as a deranged blood glucose complication. Keywords: Emphysematous pyelitis, Emphysematous pyelonephritis, Solitary functioning kidney