I have been detected with Kidney infection. Should i worry?
Pyelonephritis is inflammation of the kidney, typically due to a bacterial infection. Symptoms most often include fever and flank tenderness. Other symptoms may include nausea, burning with urination, and frequent urination. Complications may include pus around the kidney, sepsis, or kidney failure.
It is common in diabetics and can be caused by Urine tract infection. It is twice as common in women compared to men.
it can present with variable severity and can be self-limiting to life-threatening.
Causes and symptoms
Usually caused by variety of Bacterial infections of Urinary tract. few factors predispose certain individuals to this
Anatomical abnormality of Urinary tract like PUJ obstruction
Stones in Kidney
Vesico ureteric reflux
Symptoms & Signs
1- Fever with Chills
2- urinary symptoms; Burning, pain, blood in urine
3- Abdominal pain
4- Fall in blood pressure or Shock-like state in advanced cases.
3- Deranged renal function and high TLC
Diagnosis & Treatment
Diagnosis is done based on blood investigations (like CBC, KFT), Urine Test (Urine Analysis, Urine culture), Imaging (Ultrasound & CT Scan).
Based of Findings it can be simple or Complicated Pyelonephritis.
Simple Pyelonephritis: Usually doesn't require admission to hospital can be treated by Oral/ intravenous antibiotics course of 14 days.
Complicated Pyelonephritis: Needs Hospitalization and sometimes may need Intensive care in very sick patients.
Some patients may need Dialysis in case of severe renal dysfunction.
Cases with obstruction or dilatation of the kidney will need some sort of drainage in the form of Stenting or Percutaneous nephrostomy.
Rare severe cases of Pyelonephritis with gas (Emphysematous) in the Renal system may require removal of kidney by open or laparoscopic method. this can be life-saving in such situation.