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Pyelitis (Symptoms (Flank pain, Malaise, Fever greater than 38,9 °c,…
Pyelitis
Symptoms
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Fever greater than 38,9 °c
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Risk factors
Being female. The urethra is shorter in women than it is in men, which makes it easier for bacteria to travel from outside the body to the bladder.
Having a urinary tract blockage. This includes anything that slows the flow of urine or reduces your ability to empty your bladder when urinating — including a kidney stone, something abnormal in your urinary tract's structure or, in men, an enlarged prostate gland.
Having a weakened immune system. This includes medical conditions that impair your immune system, such as diabetes and HIV. Certain medications, such as drugs taken to prevent rejection of transplanted organs, have a similar effect.
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Causes
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The bacteria that enters the urinary tract through the tube that carries urine from your body (urethra) can multiply and travel to the kidneys. This is the most common cause of kidney infections.
Bacteria from an infection elsewhere in the body also can spread through the bloodstream to your kidneys. Although it's unusual to develop a kidney infection.
Prevention
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Empty the bladder after intercourse. Urinating as soon as possible after intercourse helps clear bacteria from the urethra, reducing your risk of infection.
Drink fluids, especially water. Fluids can help remove bacteria from your body when you urinate
Avoid using feminine products in the genital area. Using products such as deodorant sprays in your genital area or douches can be irritating.
Definition
An inflammation of the kidney typically due to a bacterial infection. Pyelitis is a bacterial infection of the renal pelvis. A urinary tract infection or a [bladder infection] is usually responsible for pyelitis. If a lower urinary tract infection goes unnoticed or is does not receive proper treatment, bacteria can spread to the renal pelvis and also infect this area.
Acute pyelitis
Acute pyelitis is characterised by a general feeling of sickness, pain in the area of the kidneys, burning when urinating as well as a high fever and shivering. If there is a concomitant urinary stone, the pain can be colic-like in nature. Sometimes pyelitis can also progress chronically and with less severe symptoms.
Chronic pyelitis
Chronic pyelitis s is continuing pyogenic infection of the kidney that occurs almost exclusively in patients with major anatomic abnormalities.
Diagnosis
Pyelitis is diagnosed on the basis of the patient’s medical history, the symptoms and with a blood and urine examination. In the case of suspected backup of the urine, further examinations such as an ultrasound examination, cystoscopy or x-ray imaging are carried out.
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Treatment
Pyelitis normally heals without sequelae when treated with antibiotics. If pyelitis causes a backup of urine, this must be quickly remedied it can lead to dangerous blood poisoning.