Segmental renal vein thrombosis: An unusual complication of acute pyelonephritis

Renal vein thrombosis is not a common manifestation in the context of acute pyelonephritis. We report the case of a 29-year-old female diabetic patient that was admitted to our department for an episode of complicated acute pyelonephritis. Initial imaging showed a left lower polar abscess of 27 mm a...

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Detalles Bibliográficos
Autores principales: Ben Hassine, Mohamed, Ben Hadj Alouane, Houssem, Oueslati, Mohamed Amine, Fassi Fihri, El Mamoun, Chammakhi, Chiraz, Ben Rhouma, Sami
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Inflammation and Infection
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10220306/
https://www.ncbi.nlm.nih.gov/pubmed/37250968
http://dx.doi.org/10.1016/j.eucr.2023.102444
Descripción
Sumario:Renal vein thrombosis is not a common manifestation in the context of acute pyelonephritis. We report the case of a 29-year-old female diabetic patient that was admitted to our department for an episode of complicated acute pyelonephritis. Initial imaging showed a left lower polar abscess of 27 mm and urine cultures grew community acquired K. Pneumoniae. Two days after the patient was discharged, she was readmitted with worsening symptoms. Repeat imaging showed stability in the size of the abscess and revealed a left lower segmental vein thrombosis. The patient responded favorably to antibiotics and heparin-warfarin therapy.

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