Pyuria without Casts and Bilateral Kidney Enlargement Are Probable Hallmarks of Severe Acute Kidney Injury Induced by Acute Pyelonephritis: A Case Report and Literature Review.
acute kidney injury
kidney enlargement
nonsteroidal anti-inflammatory drug
pyelonephritis
pyuria
Journal
Internal medicine (Tokyo, Japan)
ISSN: 1349-7235
Titre abrégé: Intern Med
Pays: Japan
ID NLM: 9204241
Informations de publication
Date de publication:
15 Jan 2021
15 Jan 2021
Historique:
pubmed:
8
9
2020
medline:
15
4
2021
entrez:
7
9
2020
Statut:
ppublish
Résumé
The patient was a 38-year-old man who had experienced nausea and fever for a few days and presented with back pain, oliguria, and pyuria, suggesting acute pyelonephritis (APN). He showed acute kidney injury (AKI) with bilateral kidney enlargement and was using nonsteroidal anti-inflammatory drugs (NSAIDs). AKI-induced by APN was confirmed by kidney biopsy. The AKI was successfully treated with antibiotic therapy. A search of the relevant literature for reports on histopathologically-proven APN-induced severe AKI revealed that the key characteristics were bilateral kidney enlargement with pyuria without casts. Oligoanuria was frequently associated with APN-induced severe AKI, and NSAID use may be a possible risk factor. Prompt antibiotic treatment based on the clinical characteristics of APN-induced AKI can improve the renal outcome.
Identifiants
pubmed: 32893233
doi: 10.2169/internalmedicine.5721-20
pmc: PMC7872795
doi:
Substances chimiques
Anti-Inflammatory Agents, Non-Steroidal
0
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
293-298Références
Am J Nephrol. 1991;11(3):257-9
pubmed: 1962673
J Clin Pathol. 2009 Jun;62(6):505-15
pubmed: 19474353
Nephrol Dial Transplant. 2006 May;21(5):1423-6
pubmed: 16431892
Neth J Med. 2000 Nov;57(5):185-9
pubmed: 11063864
Br J Urol. 1986 Dec;58(6):733
pubmed: 3801842
Clin Nephrol. 2005 May;63(5):385-9
pubmed: 15909599
Contrib Nephrol. 2016;188:39-47
pubmed: 27169885
South Med J. 1980 Mar;73(3):374-6
pubmed: 7361150
Clin Infect Dis. 2007 Aug 1;45(3):273-80
pubmed: 17599303
Saudi J Kidney Dis Transpl. 2010 Jan;21(1):118-22
pubmed: 20061705
Clin Infect Dis. 1992 Jan;14(1):243-6
pubmed: 1571439
J Pediatr Pharmacol Ther. 2019 Jan-Feb;24(1):39-44
pubmed: 30837813
Clin Nephrol. 1989 Jun;31(6):281-91
pubmed: 2665990
Br Med J. 1969 Mar 1;1(5643):550-1
pubmed: 5764703
BMJ Case Rep. 2019 Feb 21;12(2):
pubmed: 30796082
Int J Antimicrob Agents. 2006 Aug;28 Suppl 1:S49-63
pubmed: 16854569
Q J Med. 1979 Oct;48(192):603-12
pubmed: 395560
Am J Med. 1993 Oct;95(4):450-1
pubmed: 8213882
Am J Pathol. 1983 Dec;113(3):300-8
pubmed: 6650659
Nephrol Dial Transplant. 2013 Jan;28(1):112-5
pubmed: 22759386
Postgrad Med J. 1993 Mar;69(809):211-3
pubmed: 8497436
Curr Med Res Opin. 1981;7(6):374-83
pubmed: 7016449
Br Med J (Clin Res Ed). 1986 Jan 11;292(6513):97-8
pubmed: 3080108
Am J Kidney Dis. 1986 Oct;8(4):271-3
pubmed: 3766534
Exp Ther Med. 2019 Nov;18(5):3984-3990
pubmed: 31611938
N Engl J Med. 2018 Jan 4;378(1):48-59
pubmed: 29298155
Arch Intern Med. 1978 May;138(5):816-7
pubmed: 348138
Am J Med Sci. 2004 Aug;328(2):121-3
pubmed: 15311172
Nephron. 1992;62(2):240-1
pubmed: 1436327
Urology. 1977 Feb;9(2):177-9
pubmed: 841781
Clin Nephrol. 2001 Nov;56(5):391-3
pubmed: 11758011