BACKGROUND Procalcitonin has been advocated as a marker of bacterial infection, so this study was carried out to determine the usefulness of serum procalcitonin in the early diagnosis of urosepsis. METHODS The subjects were 37 febrile patients with urinary tract infection in whom we examined the serum procalcitonin concentration at the start of treatment. RESULTS Thirty patients had acute p...

Abstract Background Acute appendicitis and acute pyelonephritis are the most common diseases admitted to emergency departments. Both conditions have symptoms such as flank pain, abdominal fever. Patients’ history, physical examination, laboratory evaluation, imaging methods used differentiate these two conditions. Diverticulitis, colitis, gynecological pathologies, ureteral stones that mimic sh...

Background and objectives Only few smaller studies have examined if impaired kidney function increases the risk of acute injury in patients with pyelonephritis. Therefore, we estimated 30-day by preadmission Furthermore, was a factor for development pyelonephritis patients. Methods This cohort study included first-time hospitalization from 2000 to 2017. Preadmission (estimated glomerular filtra...

INTRODUCTION Prompt diagnosis and localization of pyelonephritis are of great importance in children. The urinary excretion of enzymes, and in particular N-acetyl-beta-D-glucosaminidase (NAG), is considered a simple noninvasive marker for detection of renal tubular dysfunction due to pyelonephritis. This study was performed to determine the diagnostic value of urinary NAG in acute pyelonephriti...

OBJECTIVE In this prospective study we investigated the role of plasma levels of soluble urokinase plasminogen activator receptor (suPAR) in children with urinary tract infection. MATERIAL AND METHODS We measured the levels of plasma suPAR during admission in 42 children with suspected acute pyelonephritis and compared the results to acute DMSA scintigraphy. RESULTS The mean level of plasma...

Sir, Acute pyelonephritis is an emerging infectious disease. Because the reasons for its increase are unclear and because the costs of therapy are high, the search for risk factors is of great importance [1,2]. We would like to report on a further potential risk factor, at least for the development of severe disease: oestroprogestagens, identified in the retrospective study of a series of 58 co...

Emphysematous pyelonephritis is an acute necrotizing infection of the renal parenchyma, resulting in presence of gas within either in the collecting system or perinephric space. We herein report our experience with 5 cases of emphysematous pyelonephritis in 2 men and 3 women managed by broad spectrum antibiotics, supportive measures including hemodialysis (2 patients), ureteral stenting (2 pati...

OBJECTIVE An emerging theme in modern biology is that adipose tissue can respond to metabolic stress, and to inflammatory stimuli, by regulating the secretion of a complex network of soluble mediators, termed adipokines. Adiponectin, the most prevalent circulating adipokine in human, has profound insulin-sensitizing and anti-inflammatory properties. Indeed, the notion that adiponectin plays an ...

Emphysematous pyelonephritis (EPN) is an acute necrotizing and suppurative infection of the kidney parenchyma. It is defined by the presence of gas within the kidney parenchyma and surrounding tissues. This rare condition is usually seen in diabetic or immunocompromised adults. In this paper, we report four cases of emphysematous pyelonephritis (including two diabetic patients) managed by broad...

Urinary tract infections activate both mucosal and systemic inflammatory responses reflected by elevation of cytokine concentrations in serum and urine. We determined urine and serum concentrations of tumour necrosis factor soluble receptors I and II (sTNFR I and sTNFR II) and interleukin-1 receptor antagonist (IL-lra) in 41 women with acute pyelonephritis caused by Escherichia coli, 2 weeks af...