Pyonephrosis


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Pyonephrosis is a condition in which the result of an infection associated with obstruction of the respiratory tract, in the kidney, starts to accumulate pus. Kidney infection or pyelonephritis is the most common disease of bacterial origin, and the appearance of the renal abscess may cause some severe problems in the ureters.

pyonephrosisPyonephrosis is a serious issue, in which the accumulation of pus can lead to the rapid spread of infection, which in turn may result in the emergence of sepsis. This infection is, therefore, a serious threat to the life.

The disease occurs very rarely, but it can affect both children and adults. Increased risk of disease concerns mainly people with weakened immune systems.

The symptoms of pyonephrosis

Pyonephrosis is a combination of stagnant pus in the urinary tract and the kidney infections (pyelonephritis); hence the symptoms can be different. In fact, pyonephrosis does not show a particular set of symptoms, but the complications can be far-reaching. Among the symptoms that should raise concerns include:

  • pain in the lumbar region, but also back pain or pain in the groin,
  • high fever, which appears alternately with the excessive reductions in temperature,
  • nausea and vomiting,
  • problems with urination – including its absence or significant decrease,
  • weak urinary stream
  • peritonitis symptoms like abdominal pain, bloating, abdominal tenderness, diarrhea, constipation and inability to release gas.cialo_narzady_kobieta

Severe cases can be revealed sepsis, especially in patients with weakened immune systems. In addition to these symptoms may also occur:

  • increased heart rate,
  • the rapid pace of breath (associated with sepsis)
  • alterations of mental status,
  • low blood pressure,
  • septic shock, and in severe cases, also the threat of life and death.

The causes Pyonephrosis

The airway obstruction and kidney infections are often difficult to link, so it is important to consider the reasons for each of these states.

Infection is comprised mainly bacterial the problems, including Escherichia coli (E. coli), rarely are the yeasts Candida or other fungi, which may become the basis of the appearance of the disease. Very likely are infections associated with diseases that weaken the immune system such as HIV / AIDS or long-term use of antibiotics.

Other bacteria that can cause Pyonephrosis are Enterococcus, Enterobacter, Klebsiella, Proteus, Pseudomonas, Staphylococcus, Salmonella and Bacteroides. Less often they may be Staphylococcus aureus, Mycobacterium tuberculosis, and the like, which can cause either infections or ureteral obstruction.

The appearance of airway obstruction can have a variety of reasons, among which are:

urinary stones, which create the physical block in the flow of urine,

  • pregnancy
  • cancers
  • balls of fungi
  • ureteral stenosis,
  • tuberculosis,
  • neurogenic bladder.

Diagnosis and treatment of Pyonephrosisprobka_badania

Pyonephrosis may lead to renal failure, sepsis, and therefore, the determination should be made as soon as possible. The primary tests that enable diagnose the disease are complex tests, blood, and urine. Additionally, it is helpful to do an ultrasonography, computed tomography, and magnetic resonance imaging, which will help to assess the progress of changes occurring in the kidney due to Pyonephrosis.

Pyonephrosis treatment comprises administering intravenous antibiotics such as gentamicin, ampicillin, and sometimes, clindamycin. However, are cases in which it is necessary to the surgical procedure, which will help unlock the discharge of urine and remove excess pus from the kidney.

There are also very rare situations where the infected kidney must be removed.

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