Ultrasonography in the Differentiation of Complicated and Uncomplicated Acute Pyelonephritis

Durwood Earnest Neal, Richard Steele, Bruce Sloane

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Differentiation of uncomplicated pyelonephritis versus complicated pyelonephritis has always been problematic. No clear physical signs or symptoms are diagnostic. To study differences between the two, we retrospectively reviewed charts of patients admitted to Charity Hospital, New Orleans, with febrile urinary tract infections. Criteria for inclusion were pyuria,, positive urinary culture, and signs or symptoms of pyelonephritis. All patients underwent renal ultrasonography (US) before other diagnostic tests. US identified a potential emergency (hydronephrosis or abscess) in 11 of 98 patients (11.2%). The only significant contributing factor was the presence of diabetes mellitus, which was present in five of 11 emergent conditions and eight of 73 of the remainder (P = 0.003). US is inexpensive, easily obtainable in the emergency room, and sensitive enough to screen patients with pyelonephritis for complications. However, we believe it is mandatory in diabetics, because of the high incidence of abnormalities in this population.

Original languageEnglish (US)
Pages (from-to)478-480
Number of pages3
JournalAmerican Journal of Kidney Diseases
Volume16
Issue number5
DOIs
StatePublished - Jan 1 1990
Externally publishedYes

Fingerprint

Pyelonephritis
Ultrasonography
Signs and Symptoms
Pyuria
Charities
Hydronephrosis
Routine Diagnostic Tests
Urinary Tract Infections
Abscess
Hospital Emergency Service
Diabetes Mellitus
Emergencies
Fever
Kidney
Incidence
Population

Keywords

  • Ultrasonography
  • pyelonephritis

ASJC Scopus subject areas

  • Nephrology

Cite this

Ultrasonography in the Differentiation of Complicated and Uncomplicated Acute Pyelonephritis. / Neal, Durwood Earnest; Steele, Richard; Sloane, Bruce.

In: American Journal of Kidney Diseases, Vol. 16, No. 5, 01.01.1990, p. 478-480.

Research output: Contribution to journalArticle

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