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pelonephrits

pyelonephriti

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PYELONEPHRITIS (tubulointerstitial nephritis) - Most commonly infectious in origin, the dominant organisms are________________ from the patient's intestinal tract. gram negative bacteria (usually E. coli)
The normal kidney is resistant to blood borne infection therefore the most common route of infection is bacterial ascension from the urinary bladder.
This is often associated with urinary obstruction, instrumentation of the urinary tract, vesicoureteral reflux, pregnancy, prior renal disease, and diabetes. ACUTE PYELONEPHRITIS
Symptoms include acute onset of fever and malaise, costovertebral angle pain, dysuria, frequency, and urgency ACUTE PYELONEPHRITIS
Complications of acute pylenophritis may include necrotizing papillitis, (usually bilateral), pyonephrosis, and perinephric abscess.
The incidence of acute pyelonepritis recurrence, however, is as high as 33%.
is a major cause of chronic renal failure CHRONIC PYELONEPHRITIs
Chonic pyeonehritis more commonly is the result of backward reflux of urine from the bladder to the kidney (reflux nephropathy).
Clinically, it may be characterized by repeated bouts of acute pyelonephritis or it may be insidious, presenting as renal insufficiency and hypertension. CHRONIC PYELONEPHRITIs
Tubular damage, resulting from chronic pyelonephritis, leads to polyuria and nocturia.
What does the kidney look le i a client with chronic pylonephritis? Grossly, the kidneys are small with broad irregular cortical scars and deformed blunted calyces.
These may produce an interstitial nephritis either through immunologic hypersensitivity to a wide variety of drugs or direct toxic DRUGS AND TOXINS
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