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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
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Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Videos

[Osteomyelitis after septic trochanteric bursitis - clinical case].

C Miguel1, I Gonçalves, Maria L Matos

  • 1Instituto Português de Reumatologia, Portugal. claudia.m.miguel@gmail.com

Acta Reumatologica Portuguesa
|January 20, 2011
PubMed
Summary

Infectious bursitis can cause hip pain and inflammation. Prompt antibiotic treatment resolved symptoms in a 76-year-old woman, highlighting the importance of considering infection.

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Area of Science:

  • Rheumatology
  • Infectious Diseases
  • Radiology

Background:

  • Trochanteric pain is common, but infectious causes are rare.
  • Systemic signs like fever and elevated inflammatory markers can accompany localized inflammation.

Observation:

  • A 76-year-old woman presented with subacute trochanteric pain, low-grade fever, and elevated inflammatory markers.
  • Ultrasonography revealed bursitis, while radiography showed femoral erosions.
  • The patient's symptoms resolved following intravenous antibiotic therapy.

Findings:

  • The clinical presentation, imaging findings, and response to treatment suggest an infectious etiology for the trochanteric pain and bursitis.
  • Femoral erosions in this context may indicate a deeper infectious process or reactive changes.
  • Successful treatment with antibiotics highlights the importance of considering infection in bursitis with systemic involvement.

Implications:

  • Infectious bursitis, though rare, should be considered in the differential diagnosis of patients presenting with bursitis and signs of systemic inflammation.
  • Early diagnosis and appropriate antibiotic therapy are essential for favorable outcomes in infectious bursitis.
  • This case underscores the need for a comprehensive diagnostic approach, integrating clinical, imaging, and laboratory findings to identify infectious causes of musculoskeletal pain.