Pyelonephritis natural history, complications and prognosis: Difference between revisions
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==Complications== | ==Complications== | ||
*Renal scaring<ref name="pmid2651759">{{cite journal| author=Meyrier A, Condamin MC, Fernet M, Labigne-Roussel A, Simon P, Callard P et al.| title=Frequency of development of early cortical scarring in acute primary pyelonephritis. | journal=Kidney Int | year= 1989 | volume= 35 | issue= 2 | pages= 696-703 | pmid=2651759 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2651759 }} </ref> | *Renal scaring<ref name="pmid2651759">{{cite journal| author=Meyrier A, Condamin MC, Fernet M, Labigne-Roussel A, Simon P, Callard P et al.| title=Frequency of development of early cortical scarring in acute primary pyelonephritis. | journal=Kidney Int | year= 1989 | volume= 35 | issue= 2 | pages= 696-703 | pmid=2651759 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2651759 }} </ref> | ||
*Dilation of renal pelvis | *Dilation of renal pelvis | ||
Revision as of 21:03, 25 January 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pyelonephritis is serious condition requiring emergent medical management. Most individuals who are treated adequately with antibiotics do not undergo complications. A surgical management with removal of stone or obstructing tumour may sometimes be require dot prevent complications and prevent obstructive pyelonephritis and stop the course of chronic pyelonephritis. The most common complication of pyelonephritis is recurrent infections.[1]
Natural History
Complications
- Renal scaring[2]
- Dilation of renal pelvis
- In rare cases, pyelonephritis may cause permanent kidney scars, which can lead to chronic kidney disease, high blood pressure, and kidney failure. These problems usually occur in people with a structural problem in the urinary tract, kidney disease from other causes, or repeated episodes of pyelonephritis.
- Bacteremia or Bacteriuria [3]
- sepsis, spread of the infection in the kidneys to the bloodstream
- Renal abscess[4] 2651759, 15201757, 4913271, 10102326, 986763, 7039139, 9378929, 7414775, 8126807
- Perinephric abscess is made by cortical staphylococcal renal abscess (Graves RC, Parkins LE. Carbuncle of the kidney. J Urol (Baltimore) 1970; 104:179.) or by rupturing of a renal abscess (Hill GS. Renal infection. In: Uropathology, 1st Ed, Hill GS (Ed), Churchill Livingstone, New York 1989; 33.)[4]
- Iliopsoas abscess [5]
- Peritoneal abscess[6]
Prognosis
Prognosis: 20121956
References
- ↑ 1.0 1.1 Hoverman IV, Gentry LO, Jones DW, Guerriero WG (1980). "Intrarenal abscess. Report of 14 cases". Arch Intern Med. 140 (7): 914–6. PMID 6992728.
- ↑ Meyrier A, Condamin MC, Fernet M, Labigne-Roussel A, Simon P, Callard P; et al. (1989). "Frequency of development of early cortical scarring in acute primary pyelonephritis". Kidney Int. 35 (2): 696–703. PMID 2651759.
- ↑ Lee BK, Crossley K, Gerding DN (1978). "The association between Staphylococcus aureus bacteremia and bacteriuria". Am J Med. 65 (2): 303–6. PMID 686015.
- ↑ 4.0 4.1 Dembry LM, Andriole VT (1997). "Renal and perirenal abscesses". Infect Dis Clin North Am. 11 (3): 663–80. PMID 9378929.
- ↑ Kawamoto A, Sato R, Takahashi K, Luthe SK (2016). "Iliopsoas abscess caused by chronic urolithiasis and pyelonephritis". BMJ Case Rep. 2016. doi:10.1136/bcr-2016-218541. PMID 27974344.
- ↑ Yeow Y, Chong YL (2016). "Xanthogranulomatous pyelonephritis presenting as Proteus preperitoneal abscess". J Surg Case Rep. 2016 (12). doi:10.1093/jscr/rjw211. PMC 5159021. PMID 27915241.