RESUMO
The aim of our study was to study the clinical profile of type 2 diabetes mellitus patients admitted with the diagnosis of acute kidney injury (AKI) due to bilateral acute non-obstructive pyelonephritis. The bilateral involvement was identified on various imaging modalities (ultrasound, computed tomography, nuclear scintigrapy). All the patients had AKI. Those with severe AKI underwent hemodialysis. The factors associated with the severity of illness were identified. Twenty-five patients of type 2 diabetes mellitus admitted with the diagnosis of AKI due to bilateral acute non-obstructive pyelonephritis were identified. On ultrasound, bilateral involvement was found in 12 patients and in 17 patients on computed tomography and eight patients on nuclear scintigraphy. Fourteen of them needed dialysis support. Bilateral acute pyelonephritis needs to be considered while evaluating the AKI in type 2 diabetes mellitus patients.
Assuntos
Injúria Renal Aguda/etiologia , Nefropatias Diabéticas/complicações , Nefropatias Diabéticas/etiologia , Pielonefrite/complicações , Pielonefrite/diagnóstico , Doença Aguda , Injúria Renal Aguda/terapia , Idoso , Nefropatias Diabéticas/terapia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pielonefrite/diagnóstico por imagem , Cintilografia , Diálise Renal , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , UltrassonografiaAssuntos
Injúria Renal Aguda/induzido quimicamente , Endossulfano/intoxicação , Inseticidas/intoxicação , Rim/efeitos dos fármacos , Injúria Renal Aguda/diagnóstico , Injúria Renal Aguda/fisiopatologia , Injúria Renal Aguda/terapia , Adulto , Humanos , Rim/fisiopatologia , Necrose Tubular Aguda/induzido quimicamente , Masculino , Intoxicação/diagnóstico , Intoxicação/etiologia , Intoxicação/terapia , Diálise Renal , Rabdomiólise/induzido quimicamente , Resultado do TratamentoRESUMO
Nine elderly patients who presented with features suggestive of acute pyelonephritis were studied with the help of laboratory and imaging investigations. All patients had acute kidney injury of variable severity at presentation. Renal imaging helped us in revealing bilateral involvement and the findings are discussed. The infection was treated with appropriate antibiotics. Because of severe renal failure, five patients were supported with hemodialysis, of them, three became dialysis independent. The remaining two patients were dialysis dependent at discharge. However, none of them came to us for follow-up.
