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A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis
Urinary tract infections are common sources of infections requiring antibiotic use worldwide. Chronic kidney disease (CKD) patients, especially those with minimal urine output are challenging when it comes to antibiotic stewardship given the scarcity of cases in the literature. It is further complic...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244803/ https://www.ncbi.nlm.nih.gov/pubmed/34239787 http://dx.doi.org/10.7759/cureus.15353 |
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author | Elkattawy, Sherif Younes, Islam Fichadiya, Hardik Al-nasseri, Abraheim Reddy, Aravinda |
author_facet | Elkattawy, Sherif Younes, Islam Fichadiya, Hardik Al-nasseri, Abraheim Reddy, Aravinda |
author_sort | Elkattawy, Sherif |
collection | PubMed |
description | Urinary tract infections are common sources of infections requiring antibiotic use worldwide. Chronic kidney disease (CKD) patients, especially those with minimal urine output are challenging when it comes to antibiotic stewardship given the scarcity of cases in the literature. It is further complicated by the fact that end-stage renal disease (ESRD) patients are found to have asymptomatic pyuria and its clinical significance for bacterial infection is yet to be determined. In this case, we report a patient who presented with non-specific symptoms including fever, cough, chills, diarrhea, nausea and was found to have left-sided perinephric stranding on CT scan of the abdomen. The patient also had a fever of 104.6 F which we attributed to left-sided pyelonephritis given the high sensitivity of such findings on CT scan. In this report, we explored the literature for the incidence and management of pyelonephritis in ESRD patients who are anuric. |
format | Online Article Text |
id | pubmed-8244803 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-82448032021-07-07 A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis Elkattawy, Sherif Younes, Islam Fichadiya, Hardik Al-nasseri, Abraheim Reddy, Aravinda Cureus Internal Medicine Urinary tract infections are common sources of infections requiring antibiotic use worldwide. Chronic kidney disease (CKD) patients, especially those with minimal urine output are challenging when it comes to antibiotic stewardship given the scarcity of cases in the literature. It is further complicated by the fact that end-stage renal disease (ESRD) patients are found to have asymptomatic pyuria and its clinical significance for bacterial infection is yet to be determined. In this case, we report a patient who presented with non-specific symptoms including fever, cough, chills, diarrhea, nausea and was found to have left-sided perinephric stranding on CT scan of the abdomen. The patient also had a fever of 104.6 F which we attributed to left-sided pyelonephritis given the high sensitivity of such findings on CT scan. In this report, we explored the literature for the incidence and management of pyelonephritis in ESRD patients who are anuric. Cureus 2021-05-31 /pmc/articles/PMC8244803/ /pubmed/34239787 http://dx.doi.org/10.7759/cureus.15353 Text en Copyright © 2021, Elkattawy et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Internal Medicine Elkattawy, Sherif Younes, Islam Fichadiya, Hardik Al-nasseri, Abraheim Reddy, Aravinda A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis |
title | A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis |
title_full | A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis |
title_fullStr | A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis |
title_full_unstemmed | A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis |
title_short | A Case of Pyelonephritis in an Anuric Patient with End-Stage Renal Disease on Hemodialysis |
title_sort | case of pyelonephritis in an anuric patient with end-stage renal disease on hemodialysis |
topic | Internal Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8244803/ https://www.ncbi.nlm.nih.gov/pubmed/34239787 http://dx.doi.org/10.7759/cureus.15353 |
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