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[Atypical forms of primary acute pyelonephritis].
1Service de néphrologie, hôpital Avicenne, Bobigny.
La Revue Du Praticien
|May 11, 1990
Summary
Acute primary pyelonephritis (APP) is a kidney infection with typical symptoms like fever and pain. Atypical presentations can delay diagnosis and treatment, increasing the risk of kidney scarring.
Area of Science:
- Nephrology
- Infectious Diseases
- Urology
Context:
- Acute primary pyelonephritis (APP) involves kidney infection without urinary tract abnormalities.
- Typical APP presents with fever, chills, loin pain, pyuria, bacteriuria, E. coli, and characteristic CT findings.
Purpose:
- To describe the typical and atypical presentations of acute primary pyelonephritis.
- To highlight the diagnostic challenges and potential consequences of atypical APP.
Summary:
- APP is characterized by fever, loin pain, and E. coli bacteriuria in patients with normal urinary tracts.
- Atypical APP may lack pain, fever, or exhibit negative urine cultures or CT scans.
- These atypical features can delay diagnosis and treatment, raising the risk of renal scarring.
Impact:
- Understanding atypical APP presentations is crucial for timely diagnosis and management.
- Early and accurate diagnosis of APP can prevent long-term kidney damage and complications.