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Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

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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...
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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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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...
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Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

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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...
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Atypical Pneumonia01:14

Atypical Pneumonia

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Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease...
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Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

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Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
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Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care01:30

Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care

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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...
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Updated: May 2, 2026

Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis
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Intrarenal Injection of Escherichia coli in a Rat Model of Pyelonephritis

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Incidentally detected emphysematous pyelonephritis.

Yogesh Kumar Swami1, Dharam Vir Singh1, Sanjay Kumar Gupta1

  • 1Department of Urology, Army Hospital Research and Referral, New Delhi, India.

Central European Journal of Urology
|March 1, 2014
PubMed
Summary

Emphysematous pyelonephritis (EP) is a rare, severe kidney infection. This case highlights EP incidentally detected during diabetes evaluation, a presentation not previously reported.

Keywords:
diabetes mellitusemphysematous pyelonephritisstone diseaseultrasonography

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Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • Emphysematous pyelonephritis (EP) is a severe, gas-forming infection of the kidney.
  • It is a potentially life-threatening condition requiring prompt medical attention.
  • While often presenting with sepsis, milder symptoms can occur.

Observation:

  • This report details a unique case of EP.
  • The condition was incidentally discovered during a patient's diabetes mellitus assessment.
  • This represents the first reported instance of incidentally detected EP.

Findings:

  • Emphysematous pyelonephritis can be asymptomatic or present with subtle symptoms.
  • Incidental detection of EP is possible, even in patients without typical signs of severe infection.
  • Diabetes mellitus may be a relevant comorbidity in cases of incidentally detected EP.

Implications:

  • Clinicians should consider EP in diabetic patients, even with mild symptoms.
  • Radiological imaging may reveal EP unexpectedly during evaluations for other conditions.
  • Further research is needed to understand the spectrum of EP presentation and risk factors.