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Acute Pyelonephritis I: Introduction

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

Urinary Tract Infection II: Pathophysiology

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Bacterial Gastroenteritis

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Related Experiment Video

Updated: Jun 19, 2026

Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression

Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression

Published on: June 15, 2019

[Septic pylephlebitis associated with Enterobacter cloacae septicemia].

T Amezyane¹, A Abouzahir, A El Kharrass

¹Service de médecine interne B, hôpital militaire d'instruction Mohammed V, Hay Ryad, Rabat, Maroc. amez.tao@yahoo.fr

Journal Des Maladies Vasculaires

|November 3, 2009

Summary

Septic pylephlebitis, a rare portal vein infection, was successfully treated in a patient with Enterobacter cloacae. This case highlights community-acquired infection as a potential cause and the efficacy of antibiotics and anticoagulation.

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Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

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Published on: March 15, 2024

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Last Updated: Jun 19, 2026

Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression

Design of Cecal Ligation and Puncture and Intranasal Infection Dual Model of Sepsis-Induced Immunosuppression

Published on: June 15, 2019

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess

Published on: March 15, 2024

Area of Science:

Infectious Diseases
Vascular Medicine
Microbiology

Background:

Septic pylephlebitis involves purulent thrombosis of the portal venous system, typically stemming from intra-abdominal infections.
Commonly implicated pathogens include Escherichia coli and Streptococcus; Enterobacter cloacae is an infrequent cause.

Observation:

This report details a unique case of septic pylephlebitis associated with Enterobacter cloacae bacteremia.
Computed tomography (CT) scans revealed no biliary, digestive, or pancreatic lesions.
Epidemiological investigation and antibiotic sensitivity patterns suggested a community-acquired infection.

Findings:

The patient received a course of antibiotics and anticoagulation therapy.
The infection resolved completely following treatment.
Follow-up imaging demonstrated total repermeation of the portal venous system.

Implications:

This case expands the known spectrum of pathogens causing septic pylephlebitis.
It underscores the importance of considering community-acquired infections in septic pylephlebitis, even with unusual organisms.
Successful management with antibiotics and anticoagulation highlights a viable therapeutic strategy, leading to favorable long-term vascular outcomes.