5,000 results match your criteria Pyelonephritis Chronic


Survey of mode of delivery and maternal and perinatal outcomes in Canada.

J Obstet Gynaecol Can 2022 May 17. Epub 2022 May 17.

Maternal-infant Care Research Center (MiCare), Mount Sinai Hospital, 600 University Avenue, Room 19-231M, Toronto, Ontario, Canada M5G 1X5.

Objective: To identify determinants of cesarean delivery (CD) and examine associations between mode of delivery (MOD) and maternal and perinatal outcomes.

Methods: We conducted a retrospective analysis of a Canadian multicentre birth cohort derived from provincial data collected in 2008/2009. Maternal and perinatal characteristics and outcomes were compared between vaginal and cesarean birth and between the following MOD subgroups: spontaneous vaginal delivery (VD), assisted VD, planned cesarean delivery (CD), and intrapartum CD. Read More

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Diffuse xanthogranulomatous pyelonephritis with complex spontaneous pyeloduodenal fistula: A case report.

SAGE Open Med Case Rep 2022 13;10:2050313X221098906. Epub 2022 May 13.

Department of Radiology, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam.

Xanthogranulomatous pyelonephritis is a rare and severe form of chronic pyelonephritis. Spontaneous pyeloduodenal fistula is an extremely rare complication of xanthogranulomatous pyelonephritis. We present a rare case of xanthogranulomatous pyelonephritis complicated by a complex pyeloduodenal and ureteromuscular fistulae with a cutaneous opening. Read More

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A rare case of ureteric involvement in xanthogranulomatous pyelonephritis associated with giant ureteric calculus: An unusual entity.

Saudi J Kidney Dis Transpl 2021 Sep-Oct;32(5):1461-1464

Department of Nephrology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Xanthogranulomatous pyelonephritis (XGPN) is an uncommon chronic destructive granulomatous inflammation of the kidney with variable clinical and radiological presentation. Due to its similarities to other benign and malignant pathologies, a high index of suspicion is required for preoperative diagnosis, which will ensure appropriate management of this condition. The invasion into the surrounding structures such as pararenal spaces, psoas muscle, small bowel, diaphragm, lung or soft tissues has been reported. Read More

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Early diagnosis of sepsis using an E-health application for a clinical early warning system outside of the intensive care unit: a case report.

J Med Case Rep 2022 May 9;16(1):185. Epub 2022 May 9.

Emergency Department and Emergency Medical Service, Bichat University Hospital, AP-HP, 46 rue Huchard, 75018, Paris, France.

Background: Elderly and frail patients who are unable to call for help in case of vital distress can develop complications during their hospitalization. As a supplement to clinical monitoring by the nursing staff, these patients can also be monitored in real time, with the Sensium E-health technology. An application notifies clinical staff of any change in their vital signs (heart rate, respiratory rate, temperature) outside of normal ranges, suggestive of physiological decline. Read More

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Bacterial urinary tract infection and subclinical bacteriuria in dogs receiving antineoplastic chemotherapy.

J Vet Intern Med 2022 May 7. Epub 2022 May 7.

Clinic of Small Animal Internal Medicine, Centre for Clinical Veterinary Medicine, Ludwig-Maximilian-University, Munich, Germany.

Background: Immunosuppressive treatment with glucocorticoids and cyclosporine increases the risk for positive urine cultures (PUCs) in dogs.

Objective: To investigate the prevalence and incidence of PUC in dogs diagnosed with cancer and treated with antineoplastic chemotherapy while distinguishing between subclinical bacteriuria (SB) and urinary tract infection (UTI).

Animals: Forty-six client-owned dogs with nonurogenital cancer treated with antineoplastic chemotherapy. Read More

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Clinical guidelines of UTIs in children: quality appraisal with AGREE II and recommendations analysis.

BMJ Open 2022 Apr 27;12(4):e057736. Epub 2022 Apr 27.

Department 2 of Nephrology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Objective: To explore the current Chinese and English guidelines of urinary tract infection (UTI) in children and provide a summary of the recommendations of the guidelines.

Methods: An electronic search was conducted on databases, including Pubmed, SinoMed, Wangfang Data, CHKD,VIP, NICE, WHO, GIN and Medliveto retrieve data of the clinical practice guidelines on UTI from the establishment of the database to June 2020. Four assessors assessed the quality of guidelines using the Appraisal of Guidelines for Research & Evaluation II (AGREE II) and evaluated the specific recommendations in guidelines. Read More

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Vasomotor menopausal disorders as a possible result of dysfunction of the microbiota-intestine-brain axis.

J Med Life 2022 Feb;15(2):234-240

First Department of Obstetrics and Gynecology, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.

The study involved clinical and laboratory examination of 54 women with vasomotor menopausal disorders divided into 3 subgroups depending on the duration of symptoms (not more than 12 months, about 3 years, from 5 to 7 years). The control group included 21 patients without vasomotor disorders during the menopausal period. Data from the general and obstetric-gynecological anamnesis and the results of objective and general clinical examinations were analyzed. Read More

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February 2022

[CLINICAL AND LABORATORY ASPECTS OF POSTPARTUM INFLAMMATORY COMPLICATIONS].

Georgian Med News 2022 Mar(324):32-37

Azerbaijan Medical University, Department of Obstetrics and Gynecology; Scientific Research Institute of Obstetrics and Gynecology, Baku, Azerbaijan.

The aim of this study was to optimize the diagnosis of postpartum inflammatory complications. 150 puerperas who gave written informed consent to participate in clinical and laboratory studies were divided into two groups: the main group included puerperas with developed postpartum complications (n = 100), the comparison group included puerperas with a physiological course of the postpartum period (n = 50). The data of biochemical blood tests and bacteriological analysis of aspirated vaginal contents under aseptic conditions after childbirth were used as material. Read More

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Chronic Renal Failure-Causes, Clinical Findings, Treatments and Prognosis.

Vet Clin North Am Equine Pract 2022 Apr;38(1):25-46

Equine Internal Medicine, University of Sydney, B01 - J.D. Stewart Building, Sydney, Australia.

Chronic kidney disease (CKD) is rare in horses with an overall prevalence reported to be 0.12%. There is often a continuum from Acute Kidney Injury (AKI) to CKD, and patients with CKD may be predisposed to episodes of AKI. Read More

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What Causes Diagnostic Errors? Referred Patients and Our Own Cognitive Biases: A Case Report.

Am J Case Rep 2022 Mar 18;23:e935163. Epub 2022 Mar 18.

Department of General Medicine, Juntendo University Faculty of Medicine, Tokyo, Japan.

BACKGROUND We emphasize the utility of focusing on patient medical history and concerns rather than anchoring on data sent from referral institutions, which is often qualitative and devoid of useful patient-driven information. CASE REPORT A 21-year-old man was referred to our hospital with persistent back pain, hypoalbuminemia, and C-reactive protein (CRP) elevation after prolonged hospitalization for a UTI at another hospital. A review of systems (ROS) revealed chronic diarrhea and colonoscopy revealed Crohn's disease. Read More

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[Practice of urological departments during the COVID-19 pandemic].

Urologiia 2022 Mar(1):35-40

TB Research Institute of Ministry of Health of Russia, Novosibirsk, Russia.

Introduction: The pandemic of novel coronavirus infection has had a strong impact on the whole medical system, including urological departments.

Material And Methods: We assessed the impact of restrictions due to the pandemic on the work of urological departments of private (Medical Center "Avicenna", Novosibirsk) and community (KGBUZ "City Clinical Hospital No. 11, Barnaul") hospitals; GBUZ of the Novosibirsk region "City Clinical Emergency Hospital" (GBUZ CCEH) No. Read More

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A missed psoas abscess diagnosis: A forensic case report.

Forensic Sci Med Pathol 2022 Mar 9. Epub 2022 Mar 9.

Department of Forensic Medicine, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

Psoas abscess is a rare pathology that usually presents with non-specific signs and rare clinical features. These characteristics can delay the diagnosis leading to complications and death. We report a forensic autopsy case of a 65-year-old male, alcoholic, smoker, with a history of hypertension, and urinary infection, who presented to the emergency room for anorexia and consciousness disorder. Read More

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Comparing outcomes among outpatients treated for pyelonephritis with oral cephalosporins versus first-line agents.

Int J Antimicrob Agents 2022 Apr 5;59(4):106560. Epub 2022 Mar 5.

Department of Pharmacy, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX, USA. Electronic address:

Fluoroquinolones and trimethoprim/sulfamethoxazole (TMP-SMX) are first-line agents for acute pyelonephritis. Oral β-lactams are second-line agents owing to reported lower efficacy rates, primarily seen with aminopenicillins rather than cephalosporins. The increase in resistance rates and adverse effects associated with first-line agents provides justification to reconsider oral cephalosporins for pyelonephritis. Read More

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Acute Bacterial Hemorrhagic Pyelonephritis in a COVID-19 Patient With a History of Hypothyroidism: A Case Report.

Cureus 2022 Jan 30;14(1):e21730. Epub 2022 Jan 30.

Emergency Medicine, Internal Medicine, Santa Rosa Medical Center, Pensacola, USA.

Since its initial reporting in December 2019, the novel coronavirus SARS-CoV-2 has emerged as a global health problem after its official declaration as a pandemic by the World Health Organization, with an estimated 346 million cases and over 5.9 million fatalities as of January 22, 2022. Studies on the prevalence of COVID-19 among severe cases have shown that comorbidities and risk factors such as obesity, increased aging, and chronic cardiovascular and respiratory diseases play a role in the severity of SARS-CoV-2 infections. Read More

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January 2022

Biochemical Parameters as Predictors of Underlying Liver Disease in Patients with Chronic Kidney Disorders.

Acta Inform Med 2021 Dec;29(4):260-265

Radiology Department, General Hospital "Prim.dr Abdulah Nakas", Sarajevo, Bosnia and Herzegovina.

Background: Non-alcoholic fatty liver disease (NAFLD) is an increasingly common cause of chronic liver disease and is becoming a major public health problem. NAFLD has been recognized as a hepatic manifestation of metabolic syndrome, associated with systemic diseases such as cardiovascular disease (CVD) and chronic kidney disease (CKD).

Objective: The aim of this study was to examine the role of serum LFT parameters and renal function parameters as predictors of unmanifested liver disease. Read More

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December 2021

The value of interleukin levels in the diagnosis of febrile urinary tract infections in children and adolescents; a systematic review and meta-analysis.

J Pediatr Urol 2022 Jan 23. Epub 2022 Jan 23.

Pediatrics Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:

Introduction: In recent years, researchers have been looking for tools and biomarkers to identify urinary tract infections (UTI) in children. Since there exists no systematic reviews and meta-analyses on the matter, the present study intends to determine the diagnostic value of serum and urinary levels of interleukins (IL) in the diagnosis of febrile UTI in children and adolescents.

Methods: Medline, Embase, Scopus, and Web of Science were searched until the end of 2020, using keywords related to UTI and serum and urinary ILs. Read More

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January 2022

Xanthogranulomatous Pyelonephritis Presenting as a Psoas Abscess.

Cureus 2022 Feb 7;14(2):e21967. Epub 2022 Feb 7.

Family Medicine, Hospital Central do Funchal - Serviço de Saúde da Região Autónoma da Madeira, Entidade Pública Empresarial da Região Autónoma da Madeira (SESARAM, EPERAM), Funchal, PRT.

Xanthogranulomatous pyelonephritis (XGP) is a rare form of severe pyelonephritis. It is characterized by progressive parenchymal destruction caused by chronic urinary tract obstruction and infection, typically resulting in a non-functioning enlarged kidney. Its presentation with a psoas abscess is infrequent, and only a few cases are described in the literature. Read More

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February 2022

Urinary tract infections in patients with renal insufficiency and dialysis - epidemiology, pathogenesis, clinical symptoms, diagnosis and treatment.

GMS Infect Dis 2021 21;9:Doc07. Epub 2021 Dec 21.

Department of Urology, Technical University Munich, Germany.

Epidemiological studies show an increasing number of patients worldwide suffering from chronic kidney diseases (CKD), which are associated with a risk for progression to end-stage kidney disease (ESKD). CKD patients stage 2-5, patients with regular chronic dialysis treatment (hemo- or peritoneal dialysis), and patients suffering from kidney allograft dysfunction are at high risk to develop infections, e.g. Read More

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December 2021

Is membranous nephropathy suggestive of alloimmunity in renal transplantation? A case report.

World J Transplant 2022 Jan;12(1):15-20

Faculty of Health and Life Science, Institute of Learning and Teaching, University of Liverpool, Liverpool L69 3BX, United Kingdom.

Background: Post-transplant nephrotic syndrome (PTNS) in a renal allograft carries a 48% to 77% risk of graft failure at 5 years if proteinuria persists. PTNS can be due to either recurrence of native renal disease or glomerular disease. Its prognosis depends upon the underlying pathophysiology. Read More

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January 2022

Infliximab-Associated Xanthogranulomatous Pyelonephritis: A Rare Complication.

Cureus 2022 Jan 9;14(1):e21051. Epub 2022 Jan 9.

Gastroenterology, King Abdullah Medical City, Makkah, SAU.

Xanthogranulomatous pyelonephritis (XGP) is one of the rare diseases characterized by chronic inflammation and destruction of the renal parenchyma, and it is usually associated with renal infection, and nephrolithiasis. Infliximab is an anti-tumor necrosis factor-alpha (anti-TNF-α) monoclonal antibody, which is widely used for treating inflammatory bowel disease, and it is known to increase the risk of rare and opportunistic infections. In this study, we report a case of XGP presenting after the initiation of infliximab treatment. Read More

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January 2022

A Prospective study of Emphysematous Pyelonephritis in Patients with Type 2 Diabetes.

Indian J Nephrol 2021 Nov-Dec;31(6):536-543. Epub 2021 Nov 9.

Department of Medicine, subdivision Nephrology, SRMS IMS Bareilly, Uttar Pradesh, India.

Introduction: Emphysematous pyelonephritis (EPN) is a necrotizing infection of the renal parenchyma. There is a lack of studies on follow up of EPN patients. The study aimed to explore the effect of EPN in patients with type 2 diabetes (T2D) on glycemic and renal parameters on follow up, and factors suggesting the failure of medical treatment. Read More

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November 2021

Xanthogranulomatous Pyelonephritis Caused by -The First Case Report and Brief Review.

Pathogens 2022 Jan 10;11(1). Epub 2022 Jan 10.

"Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Xanthogranulomatous pyelonephritis (XGP) represents a rare and severe pathology secondary to chronic urinary obstruction and recurrent infections. Commonly, this condition leads to loss of kidney function, and frequently, surgical approach is the only optional treatment. and are the most frequent pathogens associated with XGP. Read More

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January 2022

[A CASE OF IgG4-RELATED DISEASE OF THE URETER DIAGNOSED BY TRANSVAGINAL ULTRASOUND-GUIDED BIOPSY].

Nihon Hinyokika Gakkai Zasshi 2021 ;112(1):38-44

Departments of Urology, Japanese Red Cross Medical Center.

IgG4-related disease (IgG4-RD) is a chronic inflammatory disorder that systemically causes tissue fibrosis due to infiltration of IgG4-positive plasma cells. Here, we reported a rare case of ureteral IgG4-RD that formed a nodular lesion and diagnosed by trans-vaginal ultrasound-guided needle biopsy.A 72-year-old woman presented with loss of appetite. Read More

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January 2022

Neonatal Urinary Tract Infection and Renal Nodular Lesion: A Rare Case of Xanthogranulomatous Pyelonephritis.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096211066295

Unit of Pediatric Nephrology, Department of Pediatrics, Centro Hospitalar Universitário São João, Porto, Portugal.

Xanthogranulomatous pyelonephritis (XPN) is an uncommon variant of chronic pyelonephritis with a poorly understood pathogenesis and a challenging diagnosis. It is rare in pediatric patients, particularly in the neonatal period. We report the case of an 18-day-old female neonate admitted to the emergency room due to macroscopic hematuria and poor feeding. Read More

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January 2022

Xanthogranulomatous Pyelonephritis with Pyonephrosis and Renal Abscess in a Young Adult: A Consequence of Neglected Urinary Tract Infection Leading to Nephrectomy.

Acta Med Indones 2021 Oct;53(4):469-472

Department of Anatomical Pathology, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada - Dr. Sardjito Hospital, Yogyakarta, Indonesia.

Xanthogranulomatous pyelonephritis (XGP) is a rare form of chronic pyelonephritis, which is challenging to diagnose because its clinical presentation mimics other entities and is commonly associated with a history of urinary tract obstruction. We report a case of XGP in a young adult without nephrolithiasis and urinary tract obstruction. A 23-year-old woman presented with intermittent abdominal pain in the right upper quadrant persisting for the last ten months. Read More

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October 2021

Urinary tract infections: Should we think about the anaerobic cocci?

Anaerobe 2022 Jan 4:102509. Epub 2022 Jan 4.

Department of Medical Microbiology, Medical University of Sofia, Sofia, Bulgaria.

Anaerobic cocci are common anaerobic isolates. Numerous genera of anaerobic cocci have been reported in both urinary tract microbiota, mainly of females, and in cases of urinary tract infections (UTIs), predominantly in patients with comorbidities, when no facultatively anaerobic bacteria were detected from the urine samples. UTIs caused by anaerobic cocci have been reported in >7% in some studies. Read More

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January 2022

Renal allograft-related inflammation complicated by acute coronary syndromes: A case report.

Medicine (Baltimore) 2021 Dec;100(52):e28205

Department of Cardiology, Helios Hospital Schkeuditz, Schkeuditz, Germany.

Introduction: Persistent systemic inflammation is considered to be predictive for future cardiovascular events. Here, in a patient with pyelonephritis of his failed renal allograft, consecutive coronary angiograms proved that coronary artery disease progressed within 3 weeks, when infection was uncontrolled.

Patient Concerns: A 52-year-old male type 2 diabetic with a failed renal allograft suffering from hematuria, leukocyturia, and chest pain at rest was hospitalized. Read More

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December 2021

Upper Urinary Tract Urothelial Carcinoma With Squamous, Glandular, and Sarcomatoid Variants in a Horseshoe Kidney: A Novel Case Report and Literature Review.

Cureus 2021 Nov 16;13(11):e19627. Epub 2021 Nov 16.

Urology, King Abdulaziz Medical City, Jeddah, SAU.

Horseshoe kidney is a congenital anomaly, which consists of fusion of the lower poles of the kidneys. Cancer in a horseshoe kidney is common, possibly because of the increased risk of chronic obstruction, renal calculi, and recurrent urinary infection. We report a case of a 64-year-old male with a horseshoe kidney who presented to our hospital with gross hematuria and flank pain, which was highly suggestive of pyelonephritis. Read More

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November 2021

Kidney transplant patients at Ullevål Hospital 1963-83.

Tidsskr Nor Laegeforen 2021 12 13;141(18). Epub 2021 Dec 13.

Background: In the period November 1963 to July 1983, 118 patients received a kidney transplant at Ullevål Hospital. All future kidney transplants were subsequently performed at Oslo University Hospital, Rikshospitalet. The purpose of our study is to present demographic data and show patient and graft survival from the first patient cohort of kidney transplant recipients in Norway. Read More

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December 2021