Cases reported "Bacteriuria"

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1/11. Relapsing Henoch-Schonlein purpura associated with pseudomonas aeruginosa pyelonephritis.

    Henoch-Schonlein purpura is a systemic vasculitis of unknown cause. It is frequently triggered by a streptococcal upper respiratory tract infection. Other bacteria have been implicated as triggering agents. We report a recurring case of Henoch-Schonlein purpura in a patient with Pseudomonas pyelonephritis. The Henoch-Schonlein purpura remitted only when the infection was eradicated. Pseudomonas infection should be added to the list of bacteria that can trigger Henoch-Schonlein purpura.
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ranking = 1
keywords = pyelonephritis
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2/11. Recurrent eclampsia in a woman with chronic pyelonephritis.

    pre-eclampsia associated with chronic pyelonephritis is not uncommon, but recurrent eclampsia in two successive pregnancies associated with chronic pyelonephritis is very rare. We present one such rare case where a patient had recurrent eclampsia with chronic pyelonephritis.
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ranking = 1.4
keywords = pyelonephritis
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3/11. Acute renal failure in adults with uncomplicated acute pyelonephritis: case reports and review.

    Acute renal failure is a rare complication of acute pyelonephritis in patients who do not have urinary obstruction. Although urinary tract infections are common in adults, pyelonephritis is rarely considered in the differential diagnosis of acute renal failure nor is renal failure considered a likely consequence of bacteriuria. In this review, the cases of acute renal failure caused by acute pyelonephritis that have been reported in the last quarter century are examined. Including two new cases reported, only 12 cases of acute pyelonephritis resulting in acute renal failure were found. Three of these occurred in patients with a solitary kidney. All cases occurred in individuals who had no history of urinary tract infections, and all were caused by escherichia coli. In several cases, the administration of non-steroidal antiinflammatory drugs contributed to disease. Three cases occurred after catheter-acquired bacteriuria. Acute renal failure is an uncommon but serious consequence of uncomplicated acute pyelonephritis in adults.
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ranking = 1.8
keywords = pyelonephritis
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4/11. Success of dna fingerprinting after failure of biotyping, antimicrobial susceptibility testing, and plasmid analysis to reveal clonality of multiple blood and urine isolates from a patient with escherichia coli urosepsis.

    Multiple isolates of escherichia coli from the blood and urine of a 60-year-old woman with acute pyelonephritis exhibited different biotypes, antimicrobial susceptibility patterns, and plasmid profiles, suggesting the presence of polymicrobial bacteriuria and leaving in question the origin of the bacteremia. Only after bacterial restriction endonuclease analysis of total bacterial DNA was it discovered that all isolates represented the same strain, with plasmid instability possibly accounting for the varied antimicrobial susceptibility patterns observed. We conclude that the biotype, antimicrobial susceptibility profile, and plasmid profile are sometimes inadequate to clarify the relationships between different clinical isolates of E. coli from a single patient and can lead to erroneous epidemiologic conclusions. dna fingerprinting can resolve dilemmas these less precise techniques leave unresolved.
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ranking = 0.2
keywords = pyelonephritis
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5/11. Urinary tract infection caused by corynebacterium group D2: report of 82 cases and review.

    corynebacterium group D2 (CGD2) is a slow-growing, urea-splitting, multiantibiotic-resistant microorganism that is frequently isolated from urine samples and that, in certain circumstances, produces infection of the lower urinary tract (acute and chronic cystitis) and the upper urinary tract (pyelonephritis). This paper analyzes (by means of a retrospective and partially prospective clinical protocol) our experience with 82 patients with CGD2 bacteriuria. The infection was symptomatic in 62% of cases, and the clinical diagnoses included acute and chronic cystitis and pyelonephritis with or without bacteremia. Because CGD2 infection of the urinary tract may require specific antimicrobial treatment and because CGD2 is a fastidious microorganism, we recommend prolonged incubation of urine cultures (up to 48-72 hours), especially if the routine culture is negative, when patients are symptomatic, have alkaline urine, or have struvite crystals in the urine sediment.
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ranking = 0.4
keywords = pyelonephritis
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6/11. Acute pyelonephritis due to a kluyvera species in a child.

    A kluyvera sp. was recovered from the urine of a previously healthy 5-year-old child with clinical and laboratory evidence of acute pyelonephritis. This pathogen is usually a saprophyte and even when recovered in humans it is ordinarily considered an opportunistic pathogen. Only two other cases of kluyvera infection have been described in immunocompetent individuals. The case presented further supports the finding that this bacterium can cause severe disease even in previously healthy, immunocompetent children.
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ranking = 1
keywords = pyelonephritis
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7/11. Low urinary counts of P-fimbriated escherichia coli in presumed acute pyelonephritis.

    We report 6 children who showed clinical symptoms and laboratory signs of acute pyelonephritis but in whom bacteriuria was insignificant, with escherichia coli 10(4)/ml, or less. None of the children had symptoms of other disease. Three of the children who were at first treated inadequately or were not treated with antibiotics developed significant bacteriuria later on (10(5)/ml, or greater). Ultrasonic scanning to evaluate kidney involvement at the acute phase of disease showed transient changes in four of the 6 children--dilatation of one or both pelves or increased ecogenicity of the renal sinus, or both. The urinary E coli strains isolated from all 6 children were P-fimbriated, as determined by a P-fimbriae specific particle agglutination test (PPA test). P-fimbriate E coli are known to be strongly associated with acute non-obstructive pyelonephritis in children and we suggest that the finding of any number of P-fimbriated E coli in the urine of children with clinical evidence of acute pyelonephritis supports this clinical diagnosis.
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ranking = 1.4
keywords = pyelonephritis
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8/11. Xanthogranulomatous pyelonephritis in renal transplant recipient.

    Xanthogranulomatous pyelonephritis is reported in the native kidney of a renal allograft recipient. Immunoglobulin deposition in the transplant kidney in the absence of cell-mediated rejection, accompanied by selective cultures showing escherichia coli from the native kidney, led to the diagnosis. Native nephrectomy resulted in resolution of the patient's chronic bacteriuria and creatinine elevation.
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ranking = 1
keywords = pyelonephritis
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9/11. Acute pyelonephritis caused by mycoplasma hominis.

    A 59-yr-old male alcoholic with bilateral nephrocalcinosis and upper urinary tract stones presented with fever, acute abdominal signs and ascites. laparotomy revealed the presence of 1.5 litres of ascitic fluid and confirmed right-sided acute pyelonephritis. culture of urine from the renal pelvis obtained during surgery was positive for mycoplasma hominis. Initial therapy with cefuroxime failed and doxycycline was later initiated when culture was positive for mycoplasma hominis, with definite clinical improvement. This is an unusual case of acute pyelonephritis with peritoneal signs and ascites due to mycoplasma hominis in an elderly male who had no recent history of urinary tract instrumentation.
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ranking = 1.2
keywords = pyelonephritis
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10/11. Infections of the urinary tract during pregnancy: use of fluorescent antibody technic as an aid in patient evaluation.

    Over a 22-month period, the fluorescent antibody (FA) technic was used to evaluate 195 patients with urinary tract infections (UTI) during pregnancy. Postpartum intravenous pyelograms (IVP) were obtained for 86 patients. The results were correlated as to the site (upper or lower urinary tract) of infection. Regardless of the result of the FA test, results of IVP were abnormal in 40% to 41% of patients witn antenatal pyelonephritis. This was in contrast to only 9.4% abnormalities in patients with asymptomatic bacteriuria and negative FA tests.
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ranking = 0.2
keywords = pyelonephritis
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