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pyelonephritis, gram +ve and -ve, caused by, more common - Coggle Diagram
pyelonephritis
causes
Bacterial infection
e.coli (most common)
viral infection
fungi
treatment
ciprofloxacin or levofloxacin
Urinary Antiseptics
Hexamine
Nitrofurantoin.
Nalidixic Acid
sulphonamides
predisposing factors
acute
Urinary tract obstruction
Vesicoureteral reflux
Immunodeficiency
DM and
AIDS
enlarged prostate
chronic
Chronic obstructive pyelonephritis
bilateral
unilateral
Reflux nephropathy
Most common
Pathogenesis
acute
routes of infection
Ascending infection
most common
Hematogenous infection
chronic
recurrent attacks of acute
pyelonephritis
inadequate treatment
Clinical features
acute
Pain at the costovertebral angle.
chills, fever
dysurea, frequency and urgency
pyurea
chronic
Proteinuria
polyuria and nocturia
gradual onset of renal insufficiency
definition
inflammation of the kidney
affecting its interstitial tissue and the
renal pelvis.
complications
acute
severe
➢ Acute renal failure
➢ chronic pyelonephritis
renal failure
secondary hypertenstion
➢ perinephric abscess
➢ papillary necrosis
mild
recover
gram +ve and -ve
caused by
more common
