Case ReportOpen Access

End Stage Renal Disease due to Acute Pyelonephritis: A Case Report

Volume 2 - Issue 4

Masatomo Kaneko^1,2, Eiichi Konishi³, Toru Matsugasumi⁴, Hidefumi Taniguchi⁵, Akira Onishi², Hideo Seki⁶, Emi Inui², Naoki Imada² and Osamu Ukimura¹

Author Information Open or Close
- ¹Department of Urology, Kyoto Prefectural University of Medicine, Japan
- ²Department of Urology, Nishijin Hospital, Japan
- ³Department of Surgical Pathology, Kyoto Prefectural University of Medicine, Japan
- ⁴Department of Urology, Kyoto Chubu Medical Center, Japan
- ⁵Department of Urology, Ayabe City Hospital, Japan
- ⁶Department of Urology, Tojinkai Hospital, Japan
*Corresponding author: Masatomo Kaneko, Department of Urology, Kyoto Prefectural University of Medicine, 602 8566 Kajii-cho, Kamigyo-ku, Kyoto, Japan

Received: February 19, 2018; Published: February 22, 2018

DOI: 10.26717/BJSTR.2018.02.000788

Full Text PDF

To view the Full Article Peer-reviewed Article PDF

Abstract

An 89-year-old woman was admitted with complaining of fever and anuria. Physical examination revealed pyuria and left costovertebral angle (CVA) tenderness. A CT scan showed atrophy of the right kidney, and perirenal fat stranding in the left abnormally enlarged kidney. Based on a clinical diagnosis of acute kidney injury (AKI) due to acute pyelonephritis (APN) in the left, intravenous antibiotics, fluid, and hemodialysis was started. After healing of APN, she could not wean from hemodialysis. In order to prevent AKI due to APN from progression to end stage renal disease (ESRD), further studies about new treatment are needed.

Keywords: End Stage Renal Disease; Acute Kidney Injury; Acute Pyelonephritis; Solitary Kidney

Abbreviations: ESRD: End Stage Renal Disease; AKI: Acute Kidney Injury; APN: Acute Pyelonephritis; CVA: Costovertebral Angle; KDIGO: the Kidney Disease Improving Global Outcomes Introduction