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

In the treatment of one male patient with chronic pyelonephritis, complicated with renal stone, the pathological state of the renal inflammatory lesion was determined. The patient had been persistently infected by the same strain of S. marcescens for more than a year. When he was treated by several antimicrobial agents, the urinary bacteriological response was well correlated to the MICs of each agent. On the basis of the findings obtained, a new index of local antimicrobial activity was proposed. Analysis of such items as strains appearing after treatment, interval of relapse and the identification of the strains relapsed, were suggestive of the renal inflammatory, and pathological conditions. The clinical response also correlated well with the index. The lesion was considered to be mainly localized in the right lower calyx where a tiny stone existed. This disease is considered curable with effective chemotherapy after withdrawal of the stone. This index should be useful for evaluation of the effectiveness of antimicrobial agents.
Hinyokika Kiyo 1991 Sep
PMID:[Clinical response of chemotherapeutic agents with different activities on chronic complicated pyelonephritis with renal stone. A proposed index of local antimicrobial activity]. 178 21

The pathogenesis of Candida urinary tract infection (UTI) has been investigated clinically and experimentally with special reference to ascending pyelonephritis in rats. Among the Candida species, Candida albicans was most frequently isolated from clinical specimens including urine in two medical centers, one in Japan and the other in the United States. The isolates of C. albicans serotype B showed a significantly lower susceptibility to 5-fluorocytosine compared to those of serotype A (p less than 0.01). The distribution pattern of the serum antibody titers against C. albicans in 20 candiduria patients (C. albicans 19 and Candida tropicalis 1) was similar to that in 23 bacterial complicated UTI patients. All patients with candiduria had underlying diseases of the urinary tract, such as neurogenic bladder, bladder cancer or benign prostatic hyperplasia: indwelling urinary catheters were present in 15 patients and all had received antimicrobial agents before the study. Ascending Candida pyelonephritis has been investigated in female rats which were transurethrally inoculated into the bladder with C. albicans ATCC 10259 strain. The incidence of Candida pyelonephritis was approximately 80% in rats treated with cyclophosphamide and more than 70% in rats with partial ureteral obstruction. There was a significant relationship between renal and urinary Candida cell populations (p less than 0.01). Furthermore, a significant relationship was revealed between renal Candida cell populations and histological grades of pyelonephritis (p less than 0.01).(ABSTRACT TRUNCATED AT 250 WORDS)
Hinyokika Kiyo 1991 Sep
PMID:[Candida urinary tract infection with special reference to ascending pyelonephritis]. 178 22

We describe the occurrence of a renoduodenal fistula related to a nephrostomy tube in a patient with xanthogranulomatous pyelonephritis and renal calculi. The patient was successfully treated by nephrectomy. Etiological, diagnostic and therapeutic aspects are discussed.
J Urol 1991 Sep
PMID:Renoduodenal fistula in a patient with chronic nephrostomy drainage: a case report. 187 5

The analysis of urinary proteins and their identification are discussed, particularly in regard to the technique of sodium dodecyl sulphate electrophoresis in polyacrylamide gradient gels. Urine collection, storage and preparation are evaluated, especially in regard to problems connected with concentration and dialysis of such samples. The instrumental approach to sodium dodecyl sulphate polyacrylamide gel electrophoresis represented by the Phast System appears to be particularly valuable in routine clinical analysis of urine specimens, since no sample pretreatment is required. The following types of proteinurias are evaluated: (a) orthostatic proteinurias; (b) post-renal proteinurias; (c) Bence-Jones proteinuria; (d) lower and upper urinary tract infection (cystitis and pyelonephritis) and (e) diabetes mellitus proteinurias.
J Chromatogr 1991 Sep 13
PMID:Sodium dodecyl sulphate electrophoresis of urinary proteins. 193 88

Fifty-seven patients, with prior cystectomy and continent urinary diversion for transitional cell carcinoma of the bladder, were evaluated with CT. Forty-two of them presented ureterosigmoidostomy and 15 orthotopic ileal bladder. The CT appearance of the normal post-cystectomy pelvis is emphasized. Both early and late surgical and neoplastic complications were detected. Early surgical complications, including urinary fistulae, urinomas, seromas, lymphoceles, and abscesses, were diagnosed over a 6-month postoperative period. Late surgical complications included hydroureteronephrosis, calculosis, and pyelonephritis. Hydroureteronephrosis, due to stenosis of the ureteral anastomosis, was the most frequent complication. All such neoplastic complications as local recurrence, lymphnode distant metastases, were identified. In 83% of cases they were observed over a 2-year postoperative period. Distant metastases in the upper abdomen were never detected. The authors' experience suggests the following as the optimal follow-up: a) CT examination over a 6-month postoperative period; b) yearly CT examinations and urography over 4 postoperative years; c) yearly US examination over the first 2 years after surgery, to depict renal pelvis dilatation. Skeletal scintigraphy is often necessary to detect metastatic bone lesions. It should be performed no later than 2 years after cystectomy.
Radiol Med 1991 Sep
PMID:[Cystectomy and internal urinary diversion in bladder neoplasm. Role of CT in the follow-up]. 194 67

The objective of this retrospective case control study was to compare pregnant women with sickle trait hemoglobin to their normal hemoglobin counterparts. Sickle trait was associated with a significant increase in bacteriuria (13.0% vs 9.0%) and pyelonephritis (2.1% vs 1.4%). No difference was seen in birthweight between the two groups.
Int J Gynaecol Obstet 1990 Sep
PMID:Sickle trait and its association with birthweight and urinary tract infections in pregnancy. 197 27

Xanthogranulomatous pyelonephritis is a rare form of chronic pyelonephritis affecting adults and children. Two patients with the disease are reported.
Med J Malaysia 1990 Sep
PMID:Xanthogranulomatous pyelonephritis. A report of two cases. 215 92

A review of five year's experience of the use of 111Indium labelled leucocyte scintigraphy (111In WBC) in the investigation of suspected sepsis is presented. The results of 257 111In WBC scans for which a definitive diagnosis was subsequently established were available for analysis. The findings are compared with those of ultrasound (130 cases) and computed tomography (82 cases) and the final clinical outcome. The sensitivity and specificity of the 111In WBC for the series were 97% and 91% respectively. The major cause of the false positive 111In WBC results was activity within the bowel not due to infection. Thrombus within the inferior vena cava caused a false positive 111In WBC result: this is previously undescribed. There were a large number of incorrect ultrasound results, particularly with abdominal and pelvic abscesses, pyelonephritis, peritonitis and non-infected fluid collections, showing that a negative ultrasound cannot exclude infection. The relative merits of the three modalities are discussed, emphasizing that more than one technique may be required to establish a diagnosis.
Clin Radiol 1990 Sep
PMID:Indium labelled leucocyte scintigraphy in occult infection: a comparison with ultrasound and computed tomography. 220 31

We report the case of a 68 year-old woman who underwent surgical treatment for xanthogranulomatous pyelonephritis. Xanthogranulomatous pyelonephritis is a rare, chronic, inflammatory lesion of the kidney. It is most frequently seen in middle-aged women. Because of its clinical and radiological similarities to other renal lesions it can be difficult to establish a preoperative diagnosis. Nephrectomy is needed in most patients.
Tidsskr Nor Laegeforen 1990 Sep 10
PMID:[Xanthogranulomatous pyelonephritis. A benign, solid kidney tumor]. 221 50

Reconstruction of a typical exstrophy of bladder and to achieve normal or nearly normal functional activity is still in investigating stage. In spite of efforts of many surgeons satisfactory results are too far to be obtained and it is almost impossible to obtain a near normal bladder capacity with full continence, free of infection and non-obstructive to the upper urinary tracts. Six cases of exstrophy of bladder where reconstruction has failed several times were subsequently referred to the urology department of Calcutta National Medical College, Calcutta, for urinary diversion; on one case previous attempt at repair resulted in small thick walled bladder with recurrent calculus formation. This study was made on those 6 patients, their age ranging from 3 to 14 years, in whom ureterosigmoidostomy was carried out during the year 1979 to 1986. In all patients careful bowel preparation was carried out by low residue diet, laxatives, enemas and antibiotics. Two patients developed hyperchloraemia and acidosis, 2 pyelonephritis and 2 remained asymptomatic till December 1986. None of those patients died so far. Ureterosigmoidostomy is not ideal but it can be adequate and sometimes is the preferred form of urinary diversion within limited resources. None of the methods of urinary diversion are free from complications but considering all, ureterosigmoidostomy as a method of urinary diversion is non-hazardous simple procedure with practically no mortality.(ABSTRACT TRUNCATED AT 250 WORDS)
J Indian Med Assoc 1990 Sep
PMID:Seven years' experience of ureterosigmoidostomy in surgically failed exstrophy of the bladder. 228 60


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