Pyonephrosis
| Pyonephrosis | |
|---|---|
 | |
| Watercolour drawing of a dissected kidney, showing a condition of acute pyonephrosis. The ureter is blocked by a calculus and several calculi are seen lying in the sacculi. | |
| Specialty | Urology  |
Pyonephrosis (Greek pyon "pus" + nephros "kidney")[1] is a dangerous kidney infection that is characterized by pus accumulation in the renal collecting system.[2] It is linked to renal collecting system blockage and suppurative renal parenchymal destruction, which result in complete or nearly complete kidney failure.[3]
Signs and symptoms
Clinical symptoms in patients with pyonephrosis can range from frank sepsis (15%) to asymptomatic bacteriuria. Upon physical examination, the hydronephrotic kidney may be linked to a palpable abdominal mass.[4] On rare occasions, the hydronephrotic kidney infection may burst spontaneously into the peritoneal cavity, resulting in diffuse peritonitis and sepsis in certain patients.[5]
Cause
Pyonephrosis can result from an upper urinary tract infection combined with blockage and hydronephrosis.[4]
Diagnosis
When a patient has suspected pyonephrosis, the initial workup should consist of a complete blood count, serum chemistry with blood urea nitrogen (BUN) and creatinine, blood cultures, and urinalysis with culture[6]
It is generally not recommended to perform routine radiographic imaging on patients who have simple Urinary tract infections. When patients do not improve quickly with appropriate antibiotics, however, appropriate radiographic studies help diagnose pyonephrosis, emphysematous pyelonephritis, and renal and/or perirenal abscesses.[7]
Treatment
Together with intravenous
See also
References
- ^ "pyonephrosis" at Dorland's Medical Dictionary
- PMID 37203981.
- ISSN 2247-4706. Retrieved December 28, 2023.
- ^ a b c Peterson, Andrew C (December 14, 2023). "Pyonephrosis: Practice Essentials, Etiology, Prognosis". emedicine.medscape.com. Retrieved December 28, 2023.
- PMID 21486444.
- PMID 1450841. Retrieved December 28, 2023.
- PMID 9275978. Retrieved December 28, 2023.
- PMID 20063999. Retrieved December 28, 2023.
- PMID 9207516. Retrieved December 28, 2023.
Further reading
- Pappas, Diane E.; Hendley, J. Owen; Meissner, H. Cody; Nayak, Jennifer Lynn; Caserta, Mary T.; Arvin, Ann M.; Ross, Shannon A.; Kimberlin, David W.; Prober, Charles G. (January 1, 2023). "Urinary Tract Infections, Renal Abscess, and Other Complex Renal Infections". Principles and Practice of Pediatric Infectious Diseases. Elsevier. pp. 352–358.e4. ISBN 9780323756082. Retrieved December 28, 2023.
- Yu, Mei-Hong; Tu, Yue-Xing; Wityk, Paweł; Rak, Janusz; Fandilolu, Prayagraj M.; Sonawane, Kailas D.; Zhang, Zao; Hayashi, Rick; Mostofi, Keyvan; Daryabin, Mathieu; Kuljanin, Miljan; Lajoie, Gilles A. (January 1, 2012). "Renal Abscess and Other Complex Renal Infections". Principles and Practice of Pediatric Infectious Diseases. Elsevier. pp. 343–345.e1. ISBN 9781437727029. Retrieved December 28, 2023.