The complications and differential diagnosis of acute pyelon

The complications and differential diagnosis of acute pyelon

[complications]

 

If the diagnosis and treatment of acute pyelonephritis perticulitis in time, few complications. In the prognosis of acute pyelonephritis perticulitis complicated with potential kidney or urinary tract malformation is relatively poor, and often have resistance to pathogens, such as the removal of kidney stones, especially calculi with infection, otherwise it is difficult to control. Patients with obstruction of the urinary tract infection is difficult to cure, often evolved into a chronic process, and can cause bacteremia.

 

The most serious complications of acute pyelonephritis perticulitis in toxic shock. Gas pyelonephritis perticulitis is a rare but potentially fatal pyelonephritis is usually seen in patients with diabetes, the pathogen (usually a strain of Escherichia coli) to release the gas into the infected tissue.

 

In the full treatment, and no other kidney disease or urinary tract abnormalities, acute pyelonephritis perticulitis usually can be cured, do not cause kidney scar or persistent renal damage, contrary to the kidney is not fully mature infants, especially in kidney disease or acute pyelonephritis perticulitis complicated with urinary tract malformation, often result in persistent renal damage and scar.

 

[Differential diagnosis]

 

Because the location and nature of pancreatitis and acute pyelonephritis perticulitis pain is similar, so acute pyelonephritis perticulitis can sometimes be misdiagnosed as acute pancreatitis. Elevated serum amylase, urine normal help pancreatitis diagnosis and exclusion of acute pyelonephritis perticulitis.

 

Basal pneumonia is a disease caused by febrile pain in the ribs, but the pain had pleurisy properties, chest X-ray abnormalities.

 

Sometimes, cholecystitis, acute appendicitis perticulitis and acute abdomen must be differentiated from acute pyelonephritis perticulitis, although early symptoms and signs were similar, but the urine analysis and other laboratory examination is helpful in differential diagnosis.

 

Women with acute pelvic inflammatory disease should be differentiated from acute pyelonephritis. Physical examination revealed characteristic signs and negative urine culture.

 

In male patients with acute pyelonephritis perticulitis, to differentiate from acute prostatitis, acute epididymo orchitis.

 

Acute pyelonephritis perticulitis and renal abscess, around the kidney to identify abscess.

 

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