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Related Experiment Videos

Nephrobronchial fistula - a case report.

H A R Qazi1, R Manikandan, M E Holmes

  • 1Department of Urology, The Royal Liverpool University Hospital, L7 8XP, Liverpool, United Kingdom.

International Urology and Nephrology
|February 3, 2007
PubMed
Summary
This summary is machine-generated.

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A woman with a hydronephrotic kidney developed a lung abscess due to a kidney infection. Prompt treatment with antibiotics and ureteric stenting helped manage the severe infection, but a nephrectomy is still planned.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • A 58-year-old woman presented with anorexia, weight loss, and left loin pain.
  • She had a history of a hydronephrotic left kidney and cloudy urine.
  • Urine culture revealed lactose-fermenting coliforms, indicating a bacterial infection.

Observation:

  • Initial antibiotic treatment was administered for the urinary tract infection.
  • A computerized axial tomography (CT) scan was inconclusive.
  • Retrograde ureteric stenting was performed, draining a pyonephrosis (pus in the kidney).

Findings:

  • The patient developed a chest infection with a lung abscess.
  • A subsequent CT scan showed a perinephric collection extending into the left lung's lower lobe.

Related Experiment Videos

  • The patient showed improvement with further antibiotic therapy.

    • Implications:

    • This case highlights the potential for severe complications, including lung abscess, arising from untreated or inadequately treated kidney infections.
    • It underscores the importance of advanced imaging and interventional procedures in diagnosing and managing complex renal infections.
    • The case emphasizes the need for timely nephrectomy in select cases to prevent recurrent or persistent infections and associated morbidity.