Pyuria without Casts and Bilateral Kidney Enlargement Are Probable Hallmarks of Severe Acute Kidney Injury Induced by Acute Pyelonephritis: A Case Report and Literature Review
| Autor: | Yoshikazu Nemoto, Makoto Mochizuki, Osamu Yamazaki, Shigeru Shibata, Kohei Odajima, Michito Nagura, Shinichiro Asakawa, Ryuji Ohashi, Shigeyuki Arai, Yoshifuru Tamura, Yoshihide Fujigaki, Ryo Togashi, Yuto Hayama |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty animal structures Nausea Urology Case Report 030204 cardiovascular system & hematology urologic and male genital diseases nonsteroidal anti-inflammatory drug Kidney 03 medical and health sciences pyuria 0302 clinical medicine Oliguria Biopsy Internal Medicine medicine Back pain Humans Risk factor kidney enlargement medicine.diagnostic_test Pyelonephritis business.industry urogenital system Anti-Inflammatory Agents Non-Steroidal Acute kidney injury General Medicine Acute Kidney Injury medicine.disease Pyuria female genital diseases and pregnancy complications medicine.anatomical_structure 030211 gastroenterology & hepatology medicine.symptom business hormones hormone substitutes and hormone antagonists |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | The patient was a 38-year-old man who had experienced nausea and fever for a few days and presented with back pain, oliguria, and pyuria, suggesting acute pyelonephritis (APN). He showed acute kidney injury (AKI) with bilateral kidney enlargement and was using nonsteroidal anti-inflammatory drugs (NSAIDs). AKI-induced by APN was confirmed by kidney biopsy. The AKI was successfully treated with antibiotic therapy. A search of the relevant literature for reports on histopathologically-proven APN-induced severe AKI revealed that the key characteristics were bilateral kidney enlargement with pyuria without casts. Oligoanuria was frequently associated with APN-induced severe AKI, and NSAID use may be a possible risk factor. Prompt antibiotic treatment based on the clinical characteristics of APN-induced AKI can improve the renal outcome. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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