OBJECTIVES Recently, several authors reported that Tc-99m DMSA renal scan frequently showed cortical defects of the involved kidneys even in the patients with acute pyelonephritis who did not show abnormal findings in the ultrasonography and intravenous pyelography (IVP). METHODS In order to evaluate the utilities of Tc-99m DMSA renal scan and the clinical meaning of cortical defects in the T...

Severe hypercalcemia in the course of renal failure is quite unusual. If unrecognized, irreversible inexorable attrition of renal function takes place, carrying a substantial morbidity and mortality. In particular, acute nonobstructive pyelonephritis is barely considered in the primary differential diagnosis of renal failure. Without urinary obstruction, kidney hypoperfusion, or exposure to nep...

OBJECTIVE To report a complication of a staghorn stone in a non-functioning right kidney. METHODS We present a 47 year old female with right lumbar pain and history of recurrent urinary tract infection (UTI). After an acute pyelonephritis episode, a right staghorn stone was diagnosed in a non-functioning right kidney. RESULTS During right nephrectomy, we found a renocolic fistula not observ...

VUR, as the incidence of structural abnormalities associated with UTI is highest in this group. All young children with febrile UTI are at increased risk of acute pyelonephritis and it is difficult to differentiate upper from lower UTI in this age group. Therefore, it is recommended that all these episodes in young children be managed as pyelonephritis as they have the potential for renal scarr...

Despite the inherent differences in the various bacterial species responsible for human pyelonephritis, little consideration has been given to differences in the characteristics of the renal disease resulting from infection by each species. While it is possible that pyelonephritis is a single disease entity that develops in an identical fashion regardless of the type of bacteria, scattered clin...

Emphysematous pyelonephritis (EP) is a life threatening condition of acute necrotising renal parenchymal infection that encompasses a much wider spectrum of complicated urinary tract infections such as renal abscesses, emphysematous pyelitis, pyelonephritis, acute renal papillary necrosis, and sepsis. We report an unusual case of adenocarcinoma bladder in a middle aged nondiabetic patient, pres...

Forty six patients, with acute pyelonephritis or cystitis and a significant colony count were treated with Norfloxacin 400mg, 12 hourly for 7 days. The prevalent organisms were E.Coli (83%) and Ps pyocyanea (11%). Cure rate after one week’s treatment was 98%. Nine patients (20%) had recurrence of infection one to six weeks after stopping the drug. Tolerance to the drug was excellent. Norfloxaci...

To control for acute infectious disease, identification of the causative agent and determining the antibiotic susceptibility of the pathogen are crucial. If a particular organism is rare and relevant etiological information is scarce, it becomes difficult to determine appropriate antibiotic and therapy duration. Enterococcus hirae is a pathogen that infects animals, but rarely causes human infe...

We present the first case in which magnetic resonance imaging (MRI) has been utilized to rule out lesions compatible with acute pyelonephritis in kidneys from a cadaveric organ donor before transplanting them. A 40-year-old female underwent diagnosis of brain death following a septic shock. The ecotomography of the kidneys showed areas compatible with micro-abscesses raising the hypothesis of a...

Nephronia or focal acute nephritis corresponds to a localized inflammatory non-liquefactive kidney infection which may involve parenchyma of one or more renal lobes. It has been suggested that nephronia is part of the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess. It is associated with a prolonged clinical course, higher levels of inflammatory markers...