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[Acute pyelonephritis].

Alain Meyrier1

  • 1Service de néphrologie et INSERM 430, Groupe hospitalier Broussais-HEGP et UFR de médecine Paris V, 75908 Paris. alain.meyrier@brs.ap-hop-paris.fr

La Revue Du Praticien
|January 2, 2004
PubMed
Summary

Acute pyelonephritis, a common kidney infection, often presents with pain and fever. While typically benign in young women, severe cases in immunocompromised individuals require prompt medical attention and imaging.

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Urology

Context:

  • Acute pyelonephritis is a frequent bacterial infection affecting the kidneys.
  • Common symptoms include renal pain, fever, inflammation, and pyuria.
  • Escherichia coli is a common causative agent, particularly in young women.

Purpose:

  • To outline the clinical presentation and management of acute pyelonephritis.
  • To differentiate between simple and complicated cases requiring varied diagnostic and treatment approaches.
  • To highlight the importance of imaging in specific patient demographics and clinical scenarios.

Summary:

  • Simple acute pyelonephritis, often seen in young females, is usually benign.
  • Complicated pyelonephritis occurs in diabetic, alcoholic, or immunocompromised patients and can lead to renal abscess or septicemia.
  • Imaging is crucial for males, the elderly, and cases with ineffective treatment or early relapse.

Impact:

  • Early diagnosis and appropriate imaging can prevent severe renal damage and complications like septicemia.
  • Understanding risk factors and presentation guides timely and effective urologic treatment.
  • Further research is needed to determine the long-term prognosis of renal scarring post-pyelonephritis.

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