D7 - Uro,Endocrine

CASE REPORTCASE REPORT25-year-old woman• admitted to emergency room with feverand severe flank pain• history: 2 week lasting burning pain whileurinating, increased urinary frequencydiagnosis?diagnostic methods?• urinanalysis – increased leukocytes, slightly proteins• urine culture – E.coliPathology of uropoetic system?• acute pyelonephritisAcute tubointerstitial nephritis (acute pyelonephritis) (94)• E. coli, staphylococcuc aureus• ascending infection – reflux of the urine into the renal pelvis and calyces –bacteria entry into the renal parenchyma• abscess formation, purulent inflammatory exudate – in the collectingtubules and interstitial tissue• complications – urosepsis, pyonephros, peri- & pararenal abscess…abscessesabscessesAcute tubointerstitial nephritisAcute tubointerstitial nephritis5