Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
| Autor: | Ines Correia, Mariana Bilreiro, Carolina Morna, R F Nascimento |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Exploratory laparotomy medicine.medical_treatment lcsh:Medicine C-reactive protein Acute onset Urinary sediment Rare case Internal Medicine medicine Escherichia coli Acute pyelonephritis Ruptured abdominal aortic aneurysm Portugal Região Autónoma da Madeira business.industry lcsh:R Emergency department Articles Madeira Island Surgery acute pielonefritis ruptured abdominal aortic aneurysm abdominal ultrasound Chills medicine.symptom Presentation (obstetrics) business ruptured abdominal aortic |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal Repositório Científico de Acesso Aberto de Portugal (RCAAP) instacron:RCAAP European Journal of Case Reports in Internal Medicine European Journal of Case Reports in Internal Medicine (2020) |
| Popis: | We describe a rare presentation of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A 68-year-old female presented to the emergency department with a 3 day history of cystitis. General examination revealed the acute onset of pain in the left flank accompanied by fever and chills. Blood tests revealed leucocytosis 25,400×109/L and C-reactive protein 495 mg/L (400 mg/L in order to exclude complications and other potentially fatal pathologies. LEARNING POINTS Acute pyelonephritis can lead to a ruptured abdominal aortic aneurysm. There should be a high index of suspicion for other concomitant acute pathologies in patients with pyelonephritis and a C-reactive protein >400 mg/L. A low threshold for abdominal imaging, either a computed tomography scan or abdominal ultrasound, may allow for the diagnosis of pathologies with a high mortality rate, such as a ruptured abdominal aortic aneurysm, at an early stage and thus result in better prognosis. |
| Databáze: | OpenAIRE |
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