Factors affecting the Prognosis of Patients with Pyelonephritis

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dc.contributor.authorkumar, P.K. Senthilen_US
dc.contributor.authorBhaba, V. Kannanen_US
dc.contributor.authorBharathi, G.en_US
dc.contributor.authorsubramanian, V. Ramaen_US
dc.contributor.authorAnandan, Heberen_US
dc.date.accessioned2020-09-24T07:10:27Z
dc.date.available2020-09-24T07:10:27Z
dc.date.issued2019-07
dc.description.abstractIntroduction: Emphysematous pyelonephritis (EPN) is thenecrotizing infection of renal parenchyma with the presence ofgas in the renal parenchyma, collecting system or perinephrictissue. EPN is an uncommon life-threatening conditionprecipitated mainly by poorly controlled blood sugars andurinary tract obstruction. Current research aimed to study theclinical and biochemical factors determining the prognosis ofpatients with acute pyelonephritis.Material and Methods: The study was conducted from June2016 to June 2017 in Tirunelveli Medical college among 50patients of pyelonephritis with classical clinical features. Allbasic blood investigations were done and radiological imaginglike USG, KUB and CT abdomen was done for more detailingand followed up.Results: Females above 50 years of age were more frequentlyaffected by pyelonephritis. Altered sensorium, hypotension,HbA1c values > .5 and thrombocytopenia were noticed ina significant number of cases. Prognosis of cases with thesecomorbid conditions was found to be low. 6 patients died inthis study due to poor glycaemic control, thrombocytopeniaand renal dysfunction.Conclusion: Long-standing and uncontrolled type II diabetesmellitus, hypotension, renal dysfunction, thrombocytopeniaand radiological features of the high-risk disease are allassociated with a poor prognosis.en_US
dc.identifier.affiliationsAssociate Professor, Department of Nephrology, Tirunelveli Medical College and Hospital, Tirunelveli, Tamilnaduen_US
dc.identifier.affiliationsAssistant Professor, Department of Nephrology, Tirunelveli Medical College and Hospital, Tirunelveli, Tamilnaduen_US
dc.identifier.affiliationsPostgraduate, Department of Medicine, Tirunelveli Medical College and Hospital, Tirunelveli Tamilnaduen_US
dc.identifier.affiliationsProfessor, Department of Nephrology, Tirunelveli Medical College and Hospital, Tirunelveli, Tamilnaduen_US
dc.identifier.affiliationsSenior Clinical Scientist, Department of Clinical Research, Tamilnadu, Indiaen_US
dc.identifier.citationkumar P.K. Senthil, Bhaba V. Kannan, Bharathi G., subramanian V. Rama, Anandan Heber. Factors affecting the Prognosis of Patients with Pyelonephritis. International Journal of Contemporary Medical Research . 2019 Jul; 6(7): g1-g5en_US
dc.identifier.issn2393-915X
dc.identifier.issn2454-7379
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/202489
dc.languageenen_US
dc.publisherInternational Society for Contemporary Medical Researchen_US
dc.relation.issuenumber7en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.21276/ijcmr.2019.6.7.35en_US
dc.subjectPyelonephritisen_US
dc.subjectKidneyen_US
dc.subjectDiabetesen_US
dc.subjectBacteriuriaen_US
dc.subjectUTI.en_US
dc.titleFactors affecting the Prognosis of Patients with Pyelonephritisen_US
dc.typeJournal Articleen_US
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