CASE PRESENTATION ON UTI WITH PYELONEPHRITIS

*K. Jesindha Beyatricks and G. Deepa Sruthi

ABSTRACT

Background: Acute pyelonephritis is a potentially organ- and/or life-threatening infection that characteristically causes scarring of the kidney. A population-based study of acute pyelonephritis in the United States found overall annual rates of 15–17 cases per 10,000 females and 3–4 cases per 10,000 male.[1-3] Diagnosing and managing acute pyelonephritis is not always straightforward. Wide variation exists in the clinical presentation, severity, options, and disposition of the disease. The patient with age range of 5-65 years present with lower urinary tract infection symptoms like dysuria, increased frequency in urine, suprapubic pain and classic upper UTI symptoms like flank pain, bank pain with or without systemic symptoms like fever, chills, abdominal pain, nausea, vomiting).[4] With patients at the extremes of age, the presentation may be so atypical that pyelonephritis is not in the differential diagnosis. Infants may present with feeding difficulty or fever, and the elderly may have mental status change or fever.

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