Document Detail

Acute renal failure in adults with uncomplicated acute pyelonephritis: case reports and review.
MedLine Citation:
PMID:  1571439     Owner:  NLM     Status:  MEDLINE    
Acute renal failure is a rare complication of acute pyelonephritis in patients who do not have urinary obstruction. Although urinary tract infections are common in adults, pyelonephritis is rarely considered in the differential diagnosis of acute renal failure nor is renal failure considered a likely consequence of bacteriuria. In this review, the cases of acute renal failure caused by acute pyelonephritis that have been reported in the last quarter century are examined. Including two new cases reported, only 12 cases of acute pyelonephritis resulting in acute renal failure were found. Three of these occurred in patients with a solitary kidney. All cases occurred in individuals who had no history of urinary tract infections, and all were caused by Escherichia coli. In several cases, the administration of non-steroidal antiinflammatory drugs contributed to disease. Three cases occurred after catheter-acquired bacteriuria. Acute renal failure is an uncommon but serious consequence of uncomplicated acute pyelonephritis in adults.
S R Jones
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  14     ISSN:  1058-4838     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-06-03     Completed Date:  1992-06-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  243-6     Citation Subset:  IM    
Department of Medicine, Good Samaritan Hospital, Oregon Health Sciences University, Portland 97210.
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MeSH Terms
Acute Disease
Bacteriuria / complications
Cross Infection / complications
Cystitis / complications
Epididymitis / complications
Escherichia coli Infections / complications*
Kidney Failure, Acute / etiology*
Middle Aged
Pyelonephritis / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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