Wednesday, November 21, 2018

End Stage #RenalDisease due to Acute #Pyelonephritis: A Case Report by Masatomo Kaneko in BJSTR

Abstract

An 89-year-old woman was admitted with complaining of fever and #anuria. Physical examination revealed #pyuria and left #costovertebralangle (CVA) tenderness. A CT scan showed atrophy of the right #kidney, and perirenal fat stranding in the left abnormally enlarged kidney. Based on a clinical diagnosis of acute kidney injury (AKI) due to acute pyelonephritis (APN) in the left, intravenous #antibiotics, fluid, and #hemodialysis was started. After healing of APN, she could not wean from hemodialysis. In order to prevent AKI due to APN from progression to end stage #renaldisease (ESRD), further studies about new treatment are needed.

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