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

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

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

DOI: 10.26717/BJSTR.2018.02.000788

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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

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