Purulent-septic complications in patient with renal calyx diverticulum

2021 ◽  
Vol 11 (1) ◽  
pp. 87-92
Author(s):  
Sergey A. Zamyatnin ◽  
Irina S. Gonchar ◽  
Andrey V. Tsygankov
Keyword(s):  
Urinary Tract ◽  
Surgical Treatment ◽  
Urinary Tract Infections ◽  
Rare Case ◽  
Left Kidney ◽  
Clinical Manifestations ◽  
Septic Complications ◽  
Middle Group ◽  
Associated Diseases ◽  
Tract Infections

The calyx diverticulum is a cavity lined with urothelium that communicates through a narrow canal with the renal calyx-pelvis system. Most calyx diverticula are 0.5 to 2.0 cm in diameter and require surgical treatment exclusively for clinical manifestations of associated diseases. The most common complications of this nosology include urolithiasis and recurrent urinary tract infections. This article presents a rare case of a large diverticulum of the middle group of the calyces of the left kidney. The dimensions of the cavity filled with urine were 10 cm, which resulted in recurrent pyelonephritis, paranephritis and urosepsis.

URINARY INFECTION AT DEPARTMENT OF UROLOGY OF HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2018 ◽  
pp. 100-108
Author(s):  
Dinh Khanh Le ◽  
Dinh Dam Le ◽  
Khoa Hung Nguyen ◽  
Xuan My Nguyen ◽  
Minh Nhat Vo ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Clinical Manifestations ◽  
University Hospital ◽  
E Coli ◽  
Positive Urine ◽  
Tract Infections

Objectives: To investigate clinical characteristics, bacterial characteristics, drug resistance status in patients with urinary tract infections treated at Department of Urology, Hue University Hospital. Materials and Method: The study was conducted in 474 patients with urological disease treated at Department of Urology, Hue Universiry Hospital from July 2017 to April 2018. Urine culture was done in the patients with urine > 25 Leu/ul who have symptoms of urinary tract disease or infection symptoms. Patients with positive urine cultures were analyzed for clinical and bacterial characteristics. Results: 187/474 (39.5%) patients had symptoms associated with urinary tract infections. 85/474 (17.9%) patients were diagnosed with urinary tract infection. The positive urine culture rate was 45.5%. Symptoms of UTI were varied, and no prominent symptoms. E. coli accounts for the highest proportion (46.67%), followed by, Staphycoccus aureus (10.67%), Pseudomonas aeruginsa (8,0%), Streptococcus faecali and Proteus (2.67%). ESBL - producing E. coli was 69.23%, ESBL producing Enterobacter spp was 33.33%. Gram-negative bacteria are susceptible to meropenem, imipenem, amikacin while gram positive are vancomycin-sensitive. Conclusions: Clinical manifestations of urinary tract infections varied and its typical symptoms are unclear. E.coli is a common bacterium (46.67%). Isolated bacteria have a high rate of resistance to some common antibiotics especially the third generation cephalosporins and quinolones. Most bacteria are resistant to multiple antibiotics at the same time. Gram (+) bacteria are susceptible to vancomycin, and gram (-) bacteria are susceptible to cefoxitin, amikacin, and carbapenem. Key words: urinary tract infection

scholarly journals Multiple myeloma complicated with pseudomonas endocartiditis

2012 ◽  
Vol 10 (4) ◽  
pp. 498-501 ◽  
Author(s):  
Juliana Todaro ◽  
Patrícia Weinschenker Bollmann ◽  
Amit Nussbacher ◽  
Luis Fernando Aranha Camargo ◽  
Bento Fortunato Cardoso dos Santos ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Rare Case ◽  
Morbidity And Mortality ◽  
Infectious Agents ◽  
Gram Positive ◽  
Gram Negative ◽  
Gram Positive Bacteria ◽  
Tract Infections

Patients diagnosed with multiple myeloma are more susceptible to infections which are the major causes of morbidity and mortality associated to this disease. The main infectious agents involved are Gram-positive bacteria. However, after chemotherapy an increase in the incidence of Gram-negative strains is observed. These bacteria are also responsible for most cases of urinary tract infections. Here is reported a rare case in a 73-year-old man with multiple myeloma who developed endocarditis due to pseudomonas.

scholarly journals Octogenarian and Nonagenarians Are at a Higher Risk for Experiencing Adverse 30-Day Outcomes Following ORIF for Ankle Fractures

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0028
Author(s):  
Azeem Tariq Malik ◽  
Safdar N Khan ◽  
Laura Phieffer ◽  
Thuan V Ly ◽  
Jessica Wiseman ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Pulmonary Complications ◽  
Ankle Fractures ◽  
Independent Effect ◽  
Wound Complications ◽  
Improvement Program ◽  
Septic Complications ◽  
Operative Outcomes ◽  
Tract Infections

Category: Ankle, Trauma Introduction/Purpose: Despite an increasing number of elderly individuals undergoing surgical fixation for ankle fractures, few studies have investigated peri-operative outcomes and safety of surgery in an octogenarian and nonagenarian population (age >=80 years). Past literature has shown octogenarians to be a potentially vulnerable population that have drastically different adverse outcomes and higher resource utilization as compared to individuals below the age of 80 years. Methods: The 2012-2017 American College of Surgeons – National Surgical Quality Improvement Program (ACS-NSQIP) was queried using Current Procedural Terminology codes for patients undergoing open reduction internal fixation (ORIF) for isolated uni-malleolar (CPT-27766, CPT-27769, CPT-27792), bi-malleolar (CPT-27814) and tri-malleolar (CPT-27822, CPT-27823) ankle fractures. The study cohort was divided into three distinct groups for comparisons (Age <65 years, Age 65-79 years and Age=>80 years/octogenarians + nonagenarians). Multi-variate regression analyses were used to compare the independent effect of varying age groups on 30-day post-operative outcomes while controlling for differences in baseline clinical characteristics (age, gender, sex, race, fracture type/severity, open vs. closed fracture, admission status, BMI, co-morbidities, functional health status, ASA group and operative time). For comparison purposes, Age<65 years was taken as reference group in multi-variate regression models. Results: A total of 19,585 patients were included – out of which 1,033 (5.3%) were octogenarians/nonagenarians (=>80 years). Following multivariate analysis, individuals aged =>80 years were at a significantly higher risk of 30-day wound complications (OR 1.84; p=0.019), pulmonary complications (OR 3.88; p<0.001), renal complications (OR 1.96; p=0.015), septic complications (OR 3.72; p=0.002), urinary tract infections (OR 2.24; p<0.001), bleeding requiring transfusion (OR 1.90; p=0.025), mortality (OR 7.44; p<0.001), readmissions (OR 1.65; p=0.004) and non-home discharge (OR 13.91; p<0.001). Individuals between the age of 65-79 years only had a higher risk of pulmonary complications (OR 2.30; p=0.004), urinary tract infections (OR 2.24; p<0.001), readmissions (OR 1.41; p=0.005) and non-home discharges (OR 3.55; p<0.001), with the effect sizes being small as compared to age >=80 years group. Conclusion: Based on the findings, it appears that octagenarians and nonagenarians (age =>80) are a fundamentally distinct and vulnerable age group that is at a higher risk of complications, readmissions, mortality and non-home discharges as compared to other geriatric (65-79 years) and non-geriatric (<65 years) patients. Providers should understand the importance of pre-operative counselling and risk-stratification in this vulnerable patient population.

Urinary tract infections in obstetrics and gynecology

2015 ◽  
Vol 64 (6) ◽  
pp. 91-104 ◽  
Author(s):  
Elena Vasilyevna Shipitsyna ◽  
Tatyana Alekseyevna Khusnutdinova ◽  
Alevtina Mikhailovna Savicheva ◽  
Tatyana Aykovna Ayvazyan
Keyword(s):  
Urinary Tract ◽  
Antimicrobial Resistance ◽  
Infectious Diseases ◽  
Urinary Tract Infections ◽  
Clinical Manifestations ◽  
Clinical Importance ◽  
Infectious Complications ◽  
Obstetrics And Gynecology ◽  
Tract Infections ◽  
In Pregnancy

Urinary tract infections (UTIs) are among the most common infectious diseases in women, and are the most frequent cause of infectious complications of pregnancy. This paper reviews current scientific and methodical literature on UTIs in obstetrics and gynecology. Aspects of clinical importance of UTIs (epidemiology, clinical manifestations, complications), their etiology, antimicrobial resistance of UTIs agents were discussed, and current recommendations on diagnostics and treatment of UTIs were summarized. Special attention was paid to UTIs in pregnancy.

scholarly journals Giant bladder stone with history of recurrence urinary tract infections: A rare case

2019 ◽  
Vol 26 ◽  
pp. 100945
Author(s):  
Eriawan Agung Nugroho ◽  
Dila Junita ◽  
Yanuar Hendra Wijaya
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Rare Case ◽  
Bladder Stone ◽  
History Of ◽  
Tract Infections

scholarly journals Medullary sponge kidney associated with congenital hemihypertrophy.

1996 ◽  
Vol 7 (8) ◽  
pp. 1123-1130
Author(s):  
O S Indridason ◽  
L Thomas ◽  
M Berkoben
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Developmental Disorders ◽  
Developmental Disorder ◽  
Clinical Manifestations ◽  
Renal Stones ◽  
Medullary Sponge Kidney ◽  
Collecting Ducts ◽  
Congenital Hemihypertrophy ◽  
Tract Infections

Medullary sponge kidney is a developmental disorder characterized by ectatic and cystic malformation of the collecting ducts and tubules. Clinical manifestations include urinary tract infections, renal stones, and hematuria. It can be associated with other developmental disorders. A case of medullary sponge kidney associated with congenital hemihypertrophy, complicated by nephrocalcinosis and nephrolithiasis, is reported here.

scholarly journals Bilateral pelvic kidneys with upper pole fusion and malrotation: a  case report and  review of the literature

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hussam S. Khougali ◽  
Omer Ali Mohamed Ahmed Alawad ◽  
Nicholas Farkas ◽  
Mohammed Mahgoub Mirghani Ahmed ◽  
Alnasri Mohammed Abuagla
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Early Recognition ◽  
Left Kidney ◽  
Ct Urography ◽  
Renal Anomalies ◽  
Renal Anomaly ◽  
Recurrent Urinary Tract Infections ◽  
History Of ◽  
Tract Infections

Abstract Background The incidence of ectopic kidneys is 1:12,000 clinically and 1:900 postmortem. Patients with pelvic mal-rotated kidneys are more susceptible to recurrent urinary tract infections, recurrent renal stones, and renal injury. Fusion of the kidney lower poles is relatively common compared to other types of renal anomalies. Case presentation We present the case of a 36-year-old Sudanese female patient who presented with a long history of recurrent urinary tract infections unresponsive to antibiotics. Ultrasound scan revealed bilateral pelvic kidneys. Computed tomography (CT) urography confirmed bilateral ectopic fused kidneys, with the left kidney mal-rotated (renal pelvis facing upwards and laterally). Kidney infection secondary to vesicoureteral reflux was diagnosed. Antibiotics were prescribed according to culture and sensitivity. The patient responded well to ciprofloxacin. Conclusion A history of recurrent urinary tract infections without an apparent cause is highly suggestive of renal anomaly and should be investigated expediently. Ultrasonography or CT imaging may be utilized to aid in diagnosis. Early recognition may help prevent the high risk of end-stage renal failure associated with anomalies.

P509: Clinical manifestations and treatment of urinary tract infections: A comparative study according to the age

2014 ◽  
Vol 5 ◽  
pp. S243-S244
Author(s):  
I. Rachdi ◽  
I. Ben Ghorbel ◽  
M. Khanfir ◽  
A. Hamzaoui ◽  
T. Ben Salem ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Comparative Study ◽  
Urinary Tract Infections ◽  
Clinical Manifestations ◽  
Tract Infections
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