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renal abscess and pregnancy

Bimbo Ayoola Ashaolu, Mopelola Christianah Asaleye, Adebayo Victor Adetiloye, Isaac Olusegun Alatise
AIM AND OBJECTIVE: The purpose of this study was to determine the spectrum of disease on abdominal ultrasound (US) and the diagnostic efficacy of US in adult patients with nontraumatic acute abdomen at Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife. MATERIALS AND METHODS: The study population included consecutive 150 adult patients aged 15 years and above presenting with nontraumatic acute abdomen via the adult emergency unit or as inpatients referred to the Radiology Department of OAUTHC, Ile-Ife for abdominal US...
January 2015: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
Masaki Sekiguchi, Yuichi Hasegawa, Satoko Kinomoto, Haruhiko Sago
Calyceal diverticula are congenital, nonsecretory abnormalities in which the transitional cell-lined cavity communicates with the renal collecting system. Here we present the case of a calyceal diverticular abscess during pregnancy. A 40-year-old primiparous woman developed the abscess at 23 weeks of gestation, with right flank pain and a 37.8°C fever. A transabdominal ultrasound revealed a 12 × 10 cm cystic mass in the right kidney. She was initially diagnosed with a simple renal cyst infection, and intravenous antibiotics were initiated...
2014: Case Reports in Obstetrics and Gynecology
U Sreelakshmi, J Thejaswini, T Bharathi
OBJECTIVE: To study the incidence of septic abortion, reasons for that, sociodemographic profile, abortion providers, complications faced, and treatment given and its outcome. METHODS: All the women with septic abortion admitted at Government Maternity Hospital, Tirupathi, over a period of 2 years 4 months duration from July 2007 to October 2009 were studied prospectively. OBSERVATIONS AND RESULTS: Incidence of septic abortion in our study was 6...
August 2014: Journal of Obstetrics and Gynaecology of India
Chia-Chieh Lee, An-Shine Chao, Yao-Lung Chang, Hsiu-Huei Peng, Tzu-Hao Wang, Anne Chao
OBJECTIVE: Primary hyperparathyroidism (PHPT) is a rare clinical entity in reproductive women. Unusual hypercalcemia causing pancreatitis in the peripartum period carries significant morbidity to both the fetus and the mother. CASE REPORT: A 38-year-old woman developed a morbid course of intractable intra-abdominal abscess by pancreatitis, hydronephrosis by renal lithiasis, and unusual neurological presentations soon after delivery. Serial serum calcium level and imaging studies lead to the final diagnosis of PHPT due to a parathyroid adenoma...
June 2014: Taiwanese Journal of Obstetrics & Gynecology
Marcela C Smid, Neha R Bhardwaj, Laura M Di Giovanni, Scott Eggener, Micaela Della Torre
Actinomyces israelii is a gram-positive, filamentous anaerobic bacteria colonizing the oral and gastrointestinal tracts. Retroperitoneal actinomycotic abscess is uncommon and its rare presentation as a hemorrhagic mass may be confused with malignancy. We present a case of this unusual infection complicating pregnancy. Increased awareness of actinomycotic abscess in the differential diagnosis of renal mass concerning for malignancy is critical to early recognition and treatment of this rare infection and most importantly, avoidance of unnecessary surgical intervention...
February 18, 2014: Infectious Disease Reports
Elodi J Dielubanza, Daniel J Mazur, Anthony J Schaeffer
This article presents an overview of non-catheter-associated complicated urinary tract infection (UTI) from a urologic point of view. Discussion includes the evaluation and workup a complicated UTI through history, physical examination, laboratory analysis, and radiographic studies. Specific types of complicated UTI, such as urinary obstruction and renal abscess, are reviewed.
March 2014: Infectious Disease Clinics of North America
S Ben Ameur, Y Hentati, M Ben Dhaoui, M Weli, T Kamoun, Z Mnif, R Mhiri, M Hachicha
UNLABELLED: Neonatal renal candidiasis is an increasingly common condition affecting predominantly premature infants receiving neonatal intensive care or term infants with urogenital tract anomalies. CASE REPORT: a female infant was born by cesarian section at 30 weeks' gestation to a mother whose pregnancy had been complicated by rupture of membranes for 5 days. The infant was admitted at birth, maternofetal bacterial infection was suspected, and intravenous antibiotics were prescribed...
March 2014: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
I Veerappan, A Shanmugam, S Kumar, P Velayutham
Acute pyelonephritis complicates 1-2% of pregnancies and causes significant maternal and fetal morbidity and mortality. The diagnosis of renal tuberculosis (TB) is often delayed and commonly presents with sterile pyuria or along with other pyogenic organisms. We report a case where the diagnosis of renal TB was missed in a pregnant woman when she presented with acute pyelonephritis, septic shock, and acute renal failure. There was clinical recovery with antibiotics, but bilateral psoas and perinephric abscesses (TB, Enterococcus sp...
January 2013: Indian Journal of Nephrology
Maria Milczarek-Łukowiak, Andrzej Pyziak, Wojciech Kocemba, Justyna Płusajska
Peritonitis is a set of symptoms of varying etiology usually with an accompanying infection, systemic and local changes within the peritoneal cavity Colonic diseases, especially colon perforation, are one of the most common causes of peritonitis. The course of the disease may be turbulent due to sudden perforation. In case of limited peritonitis the disease is not as acute as the perforation hole is small and it can be sealed by the omentum and internal organs. Abdominal pain is usually located around the source of infection and is less severe...
December 2012: Ginekologia Polska
H R Schwarzenbach, S Jenzer
Based on the prevalence of asymptomatic kidney stones (5% in our general ward, in accordance with the literature) the value of abdominal ultrasonography in the clinical assessment of a suspected kidney-colic is discussed. The eminent importance of the stone-analysis is emphasized. In addition, the most common causes of kidney stone formation (low urine output, mechanical urinary obstruction in the renal pelvis, hypercalciuria, hyperoxaluria, insufficient urinary citric acid excretion, hyperuricosuria) are highlighted...
September 5, 2012: Praxis
J Ifergan, R Pommier, M-C Brion, L Glas, L Rocher, M-F Bellin
Most infections of the upper urinary tract are straightforward and do not require any emergency radiological investigations. A sonogram carried out within 48 hours will in most cases be sufficient to eliminate obstructed pyelonephritis requiring emergency drainage of urine. In complicated cases, or those affecting already weakened areas, an urgent CT scan is necessary, preferably after injection of iodinated contrast medium if renal function permits. CT scanning is far better at diagnosis than sonography as well as at investigating whether there are complications...
June 2012: Diagnostic and Interventional Imaging
Silvia Velciov, Gh Gluhovschi, V Trandafirescu, Ligia Petrica, Gh Bozdog, Cristina Gluhovschi, F Bob, F Gădălean, M Bobu
During the last years renal abscesses are being diagnosed with increasing frequency in Nephrology departments. Progresses achieved in imaging procedures permit a timely diagnosis of renal abscesses. At the same time modern antibiotic therapies permit the treatment of this disease in Nephrology departments. In the current paper we present some specifics of renal abscess management encountered in a Nephrology department in western Romania. We performed a retrospective analysis of 2793 patients with upper urinary tract infection hospitalised during 2002-2009 in our Nephrology Department, of whom 44 showed renal abscesses...
2011: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
Zohreh Kavehmanesh, Zahra Khalili Matinzadeh, Susan Amirsalari, Mohammad Torkaman, Shahla Afsharpayman, Morteza Javadipour
Leukocyte adhesion deficiency type 1 (LAD 1) is an autosomal recessive hereditary disorder resulting from deficiency of CD18, characterized by recurrent bacterial infections. We report two consanguineous patients with Leukocyte adhesion deficiency type 1( LAD1). These two infant boy patients were referred to us, within a short period of time, with the complaints of recurrent infections at the age of 38 and 75 days -old, respectively. Parents of two patients were first cousins and their grandmothers also were first cousins...
July 2010: Acta Medica Iranica
Muhammad Yousuf, Javed Akhter, Khalid Al-Khairy, Mohammed A Al-Saadan, Salih Bin-Salih
OBJECTIVE: To evaluate the etiology of extremely elevated erythrocyte sedimentation rate (ESR) in adolescents and adults at a tertiary care center. METHODS: This retrospective, cross-sectional, observational study was carried out at King Abdulaziz Medical City, Riyadh, Saudi Arabia using the Westergren method of determining ESR in adolescents and adults aged >or=12 years. The patients included inpatients and outpatients with medical, surgical, and gynecological problems...
November 2010: Saudi Medical Journal
Faafetai Sopoaga, Ken Buckingham, Charlotte Paul
INTRODUCTION: Pacific people suffer disproportionately poorer health and reduced life expectancy at birth compared to the total New Zealand population. AIM: To assess causes of excess morbidity in the Pacific population, and identify lesser known or previously unknown causes which require further investigation. METHODS: We obtained public hospital discharge data from July 2000 to December 2002. The population data were from the 2001 Census...
June 2010: Journal of Primary Health Care
Joanne Shields, Alexander P Maxwell
Urinary tract infection (UTI) may predominantly involve the lower urinary tract, i.e. acute cystitis, or upper urinary tract consisting of the renal pelvis and kidney,, i.e. acute pyelonephritis The incidence of acute pyelonephritis is higher in young women than in men but the incidence in men over 65 is similar to that in older women. Women have up to a 10% risk of recurrent acute pyelonephritis in the year following a first acute episode. The equivalent risk in men is 6%. Acute pyelonephritis may be uncomplicated and resolve without serious sequelae...
April 2010: Practitioner
K A El-Reshaid, J P Madda, M F Sherif
Chyluria is usually associated with abnormal retrograde or collateral flow of lymph from intestinal lymphatics into lymphatics of the kidney, ureter or bladder. Chyluria has been described in patients with lymphoma, carcinoma, trauma, abscess, tuberculosis, filariasis, pregnancy and stenoses of the thoracic duct. In this case report we describe a patient who presented with chyluria associated with severe hyperlipidemia due to nephrotic syndrome induced by microscopic polyangiitis. Laboratory, histological and radiological examination did not show evidence of filarial infestation, tuberculous infection or malformation of the lymphatic system...
April 1998: Saudi Journal of Kidney Diseases and Transplantation
C von Schnakenburg, A Frankenschmidt, J Neumann, K Häffner, N Jeck, M Pohl
BACKGROUND: A diagnostic workup of a renal mass will rarely lead to the diagnosis of a tubulopathy. We would like to stress the importance of taking a detailed history and of evaluating these findings in the context of the clinical symptoms. CASE REPORT: A 3 year old boy with a renal mass, diagnosed due to urinary tract infection, was referred to exclude renal malignancy. Detailed history revealed polyuria and polydipsia in a child with preterm delivery due to polyhydramnios...
January 2008: Klinische Pädiatrie
C L Cassar
This report describes a pregnant woman with systemic lupus erythematosus and autoimmune hepatitis who presented with threatened labour and acute renal failure. She developed respiratory distress, haematemesis and became coagulopathic. Intrauterine death occurred and she was admitted to the intensive care unit after caesarean section. She suffered sudden cardiovascular collapse and succumbed. At autopsy, Nocardia was cultured from multiple renal abscesses. The co-existence of Nocardia sepsis, systemic lupus erythematosus, autoimmune hepatitis and pregnancy are discussed...
August 2007: Anaesthesia and Intensive Care
Tracy A Jaffe, Chad M Miller, Elmar M Merkle
OBJECTIVE: The purpose of our study was to evaluate current practice patterns in the imaging of pregnant women with abdominal complaints. MATERIALS AND METHODS: A survey was sent to the abdominal imaging division of 183 radiology residency programs in the United States. The survey asked for information regarding CT and MRI of abdominal complaints in pregnant patients. RESULTS: Eighty-five surveys (46%) were returned. Sixty-three (74%) of 85 of respondents have a written departmental policy regarding imaging pregnant women...
November 2007: AJR. American Journal of Roentgenology
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