Acute Pyelonephritis Case Studies

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DR. LALIT MOHAN BHARDWAJ DR. ANJAN BARKATAKY
DNB PGT (GENERAL MEDICINE) MD, DM (PGIMER) NEPHRO
DOWN TOWN HOSPITAL DOWN TOWN HOSPITAL
Complicated acute pyelonephritis presenting as acute abdomen in diabetic patients

ABSTRACT-
Acute pyelonephritis is a potentially fatal infection which often presents with varied clinical signs and symptoms. Diagnosis is often get delayed as there is no consistent set of signs and symptoms that are both sensitive and specific for the diagnosis. Failure to diagnose these cases may lead to complications especially when patients have other comorbidities like diabetes mellitus. Patients presenting as acute/ surgical abdomen may lose precious time in doing other investigations where a simple urine R/E can reveal masquerading acute pyelonephritis. A high index of clinical suspicion may be …show more content…
Acute pyelonephritis results from bacterial invasion of the renal parenchyma. Bacteria usually reach the kidney by ascending from the lower urinary tract. Bacteria may also reach the kidney via the bloodstream. Timely diagnosis and management of acute pyelonephritis have a significant impact on patient outcomes.
CASE …show more content…
Wide variation exists in the clinical presentation, severity, options, and disposition of the disease. Patients in the age range of 5-65 years typically present with lower urinary tract infection (UTI) symptoms (eg, dysuria, frequency, urgency, gross hematuria, suprapubic pain) and classic upper UTI symptoms (eg, flank pain, back pain), with or without systemic signs and symptoms (eg, fever, chills, abdominal pain, nausea, vomiting, costovertebral angle tenderness) and with or without leukocytosis. However, acute pyelonephritis can present as nonspecific

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