Acute bilateral non-obstructive bacterial pyelonephritis with acute kidney injury in the elderly: role of non-invasive studies in its diagnosis

Acute bilateral non-obstructive bacterial pyelonephritis with acute kidney injury in the elderly: role of non-invasive studies in its diagnosis

Nine elderly patients who presented with features suggestive of acute pyelonephritis were studied with the help of laboratory and imaging investigations. All patients had acute kidney injury of variable severity at presentation. Renal imaging helped us in revealing bilateral involvement and the find...

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Bibliographic Details
Published in:International urology and nephrology Vol. 43; no. 3; pp. 919 - 923
Main Authors: Yadla, Manjusha, Parvithina, Sriramnaveen, Yanala, Sandeepreddy, Chennu, Krishnakishore, Vellankivenkata, Sainaresh, Bodagala, Vijayalakshmi, Amancharla Yadagiri, Lakshmi, Kalawat, TekChand, Vishnubhotla, Sivakumar
Format: Journal Article
Language:English
Published: Dordrecht Springer Netherlands 01-09-2011
Springer Nature B.V
Subjects:
Acute Kidney Injury - blood
Acute Kidney Injury - complications
Acute Kidney Injury - diagnosis
Aged
Antibiotics
Bacteria
Computed tomography
Creatinine - blood
Escherichia coli
Female
Geriatrics
Hemodialysis
Humans
Infection
Injuries
Kidney
Male
Medicine
Medicine & Public Health
Nephrology
Nephrology – Original Paper
Pyelonephritis
Pyelonephritis - complications
Pyelonephritis - diagnosis
Pyelonephritis - microbiology
Pyelonephritis - therapy
Renal Dialysis
Renal failure
Tomography, X-Ray Computed
Urology
Bilateral
Elderly
Acute kidney injury
Acute pyelonephritis
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Description
Summary:Nine elderly patients who presented with features suggestive of acute pyelonephritis were studied with the help of laboratory and imaging investigations. All patients had acute kidney injury of variable severity at presentation. Renal imaging helped us in revealing bilateral involvement and the findings are discussed. The infection was treated with appropriate antibiotics. Because of severe renal failure, five patients were supported with hemodialysis, of them, three became dialysis independent. The remaining two patients were dialysis dependent at discharge. However, none of them came to us for follow-up.
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ISSN:0301-1623
1573-2584
DOI:10.1007/s11255-011-0031-x