Pyelonephritis
| Headline | |
|---|---|
| Etiology | Proximal spread of UTI from bladder. Common complication of UTI in pregnancy |
| Epidemiology | |
| Clinical presentation | fever, loin/flank pain, vomiting, rigors, polyuria Ddx: |
| Pathogenesis | |
| Diagnostic investigations | Urine dip: haematuria ± proteinuria CT KUB Chronic pyelonephritis can cause focal scarring; DMSA for ?vesicoureteric reflux |
| Management | Fluoroquinolones (cipro/levofloxacin), fluids, analgesia - If stones present and contributing to sepsis ⇒ emergency decompression - JJ stent? Complications: sepsis |
| Prevention |