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Query: UMLS:C0034186 (pyelonephritis)
 6,144 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Computed tomography (CT) using the EMI CT5000/5005 scanner was performed on 14 patients with a solitary functioning kidney demonstrated by other radiological investigations. Examinations before and after intravenous injection of contrast material have been undertaken. In the majority of cases, the patients were referred as a "nonfunctioning kidney" following excretion urography. Other referrals included previous nephrectomy or solitary kidneys. In all cases, the CT scan made possible the definitive diagnosis. The diagnosis included unsuspected hydronephrosis, vestigial kidney, contracted kidney secondary to chronic pyelonephritis and calculus, recurrence of a hypernephroma, and lymphomatous infiltration. Valuable information was obtained about the vascular pedicle, the renal collecting systems, the perinephric space, and the retroperitoneal space including the paraaortic lymph nodes. Furthermore, the increased sensitivity of the technique in detecting lower concentrations of iodine provided information regarding renal function. It is concluded that the noninvasive nature of CT makes it a valuable adjunct in the further investigation of such patients.
J Comput Assist Tomogr 1978 Sep
PMID:Computed tomography in the evaluation of the solitary or unilateral nonfunctioning kidney. 70 16

Mechanical anuria developed in a neonate during a period of intensive care following birth trauma. The obstruction of the urinary tract was due to yeast clumps from a candida pyelonephritis. Urine flow was reestablished after a unilateral nephrostomy and antimycotic therapy. There were no anatomical abnormalities of the urinary tract.
Urologe A 1978 Sep
PMID:[Obstructive anuria due to renal candidiasis in a newborn male (author's transl)]. 70 13

In patients with stone pyelonephritis the behaviour of the renal function under the influence of chemotherapy was examined at the stage of the compensated retention. 24 cures carried out on clinical conditions on 10 patients with an average age of 52 years (14--71) were evaluated. By means of chemotherapy in connection with the treatment of anaemia and the compensation of acidosis the renal function could favourably be influenced and the terminal stage of the renal insufficiency could be shifted. The author adopts a definite attitude to the long-term prophylaxis.
Z Urol Nephrol 1978 Sep
PMID:[Effect of chemotherapy on kidney function in pyelonephritis due to calculi with kidney insufficiency]. 71 43

Three patients with well documented unilateral chronic pyelonephritis (UCP) of bacterial origin, one hypertensive and two normo-tensive, were presented. Removal of the contracted kidney in the hypertensive patient did not eradicate the hypertension. An attempt was made to define UCP as closely as possible. The clinical, roentgenologic, bacteriologic, functional and pathologic criteria of UCP was described. But, as other conditions may mimic the roentgenologic, functional and pathologic picture of UCP, a history of recurrent urinary tract infection accompanied by a documented unilateral renal bacteriuria is the basic requirement for a sustained diagnosis of UCP. In view of these more exacting criteria in the diagnosis of UCP, and its water and salt-losing functional pattern, UCP is a rare cause of hypertension, in the majority of cases the association of UCP with hypertension is merely coincidental.
Am J Med 1978 Sep
PMID:Unilateral chronic pyelonephritis and hypertension: coincidental or causal relationship? 71 16

A histological and histochemical study was made (for a period of from 24 hours to 27 weeks) of the internal organs of albino mice after a single intraperitoneal injection of the L-forms of beta-hemolytic streptococcus, group A. The following progressive pathological process (myocarditis, hepatitis, pyelonephritis) developed against an intense allergic background with a resultant systemic lesion of the tissues.
Biull Eksp Biol Med 1975 Sep
PMID:[Morphological changes in the internal organs in chronic streptococcal infection]. 76 60

The clinical picture of an enlargement in kidney size, a decrease in renal function and an increase in temperature in a patient with a transplanted kidney into an ileal loop presents a problem in differential diagnosis among rejection, acute tubular necrosis and acute pyelonephritis.
J Urol 1976 Sep
PMID:Acute pyelonephritis in a transplant patient with an ileal loop mimicking rejection. 78 33

The test for antibody-coated bacteria in urine for the diagnosis of the anatomical level of urinary tract infections was evaluated in children with UTI. The ability of the test to differentiate between an upper and lower infection is influenced by the antiglobulin preparation used, since too sensitive an antiglobulin probably detects nonspecifically bound antibodies. Staphylococcal protein A seems to be well suited for use as an antiglobulin in this test. Using staphylococcal protein A all children with X-ray findings suggesting renal damage had antibody-coated bacteria in the urine, however, nine infants and 5 children and clinical symptoms of pyelonephritis had a negative test. Of 28 children with clinical symptoms of cystitis only one had a positive test. Of 50 children with asymptomatic bacteriuria 9 had antibody-coated bacteria in the urine; 41 had not. The findings indicate that the method might be useful in establishing the anatomical level of urinary tract infection and might also be useful for screening children with asymptomatic bacteriuria who risk developing kidney infections.
Acta Paediatr Scand 1976 Sep
PMID:Antibody-coated bacteria in the urine of children with urinary tract infections. 78 40

Coliforms given intravenously usually fail to produce pyelonephritis unless urinary obstruction or other anatomic abnormalities are present. Previously, we had observed progressive pyelonephritis after hematogenous infection only in monkeys which seemed to have an abnormality of ureteral function. To further test this observation, unilateral ureteral instillation of Escherichia coli 04.06, and 0111 was carried out under base line pressure conditions. Animals infected with E. coli 04 showed unilateral absence of ureteral peristalsis, delay in excretion of radionuclide on scintiphoto studies, and ureteritis histologically. This study confirms that certain strains of E. coli cause ureteral dysfunction. So called nonobstruction pyelonephritis may really be obstructive.
Invest Urol 1975 Sep
PMID:Experimental pyelonephritis in the monkey. III. Pathophysiology of ureteral malfunction induced by bacteria. 81 Apr 59

Exposure of a large inoculum of Staphylococcus aureus in vitro to concentrations of gentamicin that exceeded the minimal bactericidal concentration regularly resulted in the emergence of aminoglycoside-resistant bacterial variants. Variants lacked typical properties that are associated with S. aureus: they produced small, nonhemolytic colonies that were mostly coagulase-, deoxyribonuclease-, and mannitol-negative. In some instances phage type also differed from that of the parent forms. Animal models of subcutaneous and intravenous infection were studied with use of parent and variant forms of S. aureus. Subcutaneous injection of variants into rats readily produced abscesses, and intravenous inoculation into mice caused pyelonephritis, although in each experimental model in which equivalent bacterial inocula were used, parents produced more extensive disease. These data show that variants of S. aureus cause infection in experimental animals, although these variants appear to be somewhat less virulent than the parents from which they are derived. Preliminary studies in our laboratory have also shown that gentamicin-resistant variants of gram-negative bacilli can be induced by a single in vitro exposure to gentamicin. The virulence of these organisms and their role in antibiotic-susceptibility patterns of hospital flora warrant further investigation.
J Infect Dis 1977 Sep
PMID:Emergence of variant forms of Staphylococcus aureus after exposure to gentamicin and infectivity of the variants in experimental animals. 90 74

Xanthogranulomatous pyelonephritis in childhood has been thought to exist only in focal form. We encountered 2 cases of diffuse xanthogranulomatous pyelonephritis in children and have found 3 others reported in the literature, making it necessary to change this concept. The essential radiologic and pathologic differences between focal and diffuse xanthogranulomatous pyelonephritis are reviewed.
J Urol 1977 Sep
PMID:Diffuse xanthogranulomatous pyelonephritis in children: an unrecognized variant. 90 52


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