Acute Renal Failure Secondary to Acute Bacterial Pyelonephritis

J, Núñez; Pérez, Ernesto; Gunasekaran, Sivaselvi; Narvarte, Javier; Ramírez, Germán

doi:10.1159/000187047

Cited by 6 publications

(1 citation statement)

References 5 publications

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“…Prompt diagnosis with antibiotic coverage had a favorable effect on the prognosis of pyelonephritis-induced acute kidney injury in most of the patients. However, three died from pyelonephritis and two required hemodialysis [9][10][11][12][13][14][15][16][17][18][19]. A severe form of pyelonephritis, emphysematous pyelonephritis, is characterized by gas within the renal parenchyma and/or the collecting ducts.…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury from pyelonephritis in an elderly man: case report

et al. 2011

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Pyelonephritis is rarely considered in the differential diagnosis of acute kidney injury. Acute non-obstructed bacterial pyelonephritis is an infrequent and rarely considered cause of rapidly progressive acute kidney injury. A diagnostic challenge thus develops as it is difficult to clinically differentiate acute kidney injury secondary to ischemic or toxic acute tubular necrosis or papillary necrosis versus acute interstitial nephritis secondary to drugs or infectious pyelonephritis. We describe a case of acute kidney injury due to suppurative pyelonephritis in an elderly immunocompetent man who presented with dysuria, vomiting, and fever and later found to have histologic and radiologic proven pyelonephritis as the cause of acute kidney injury in the absence of hypotension, nephrotoxic agents, non-steroidal analgesics, immunosuppression, urinary tract obstruction, or other structural anomalies. The patient was managed with antimicrobial therapy, hemodialysis, and a short course of corticosteroids.

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Section: Discussionmentioning

confidence: 99%

Acute kidney injury from pyelonephritis in an elderly man: case report

et al. 2011

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Pyelonephritis and Acute Renal Failure

Nahar

Akom

Hanes

et al. 2004

The American Journal of the Medical Sciences

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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

et al. 2021

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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.

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Acute Renal Failure Secondary to Acute Bacterial Pyelonephritis

Cited by 6 publications

References 5 publications

Acute kidney injury from pyelonephritis in an elderly man: case report

Acute kidney injury from pyelonephritis in an elderly man: case report

Pyelonephritis and Acute Renal Failure

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

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