Clinical profile of pyelonephritis in patients with diabetes mellitus
Journal Title: Medpulse International Journal of Medicine - Year 2018, Vol 6, Issue 1
Abstract
Background: Acute pyelonephritis is defined as bacterial or fungal infection of renal parenchyma and collecting system. Acute pyelonephritis was otherwise called acute focal pyelonephritis or acute focal bacterial nephritis or acute lobar nephronia Aims and objectives: to study Clinical profile of pyelonephritis in patients with diabetes mellitus. Methodology: After approval from institutional ethical committee a cross-sectional study was carried out in the department of Medicine at tertiary health care centre during the two year period i.e. January 2016 to January 2018 in the diabetic patients who were referred for the pyelonephritis were studied by taking the informed consent of the patients. All the patients received treatment as per the standard protocols and at the end outcome in the patients like Survival with Nephrectomy Survival without Nephrectoy, Expired etc. seen. Result: The majority of the patients were in the age group of 50-60 i.e. 33.33%, followed by 40-50. 25.00%, 30-40 were 19.44%, >60 were 13.89%, 20-30 were 8.33%. The majority of the patients were male i.e. 69.44% and female were 30.56%. The most common clinical feature was Fever i.e. 90% followed by Dysurea -85%. Altered sensorium in 79%, Renal dysfunction -53%,UTI -49%, Shock -38%, Leucocytosis-29% Thrombocytopenia -21%, Renal Stone -11%, The Culture +ve patients were -93%, E. coli -87%, K. pneumonia in 13%, Pseudomonas -10%, Polymicrobial -7%, Fungal-5%, Culture –ve in 3%. As per the outcome patients Survived with Nephrectomy in 70%, Survived without Nephrectoy in 27%, Expired -3% Conclusion: It can be concluded from our study that the majority of the patients were in the age group of 40-50 and affecting mostly to males, the most common clinical features were Fever, Dysurea, Altered sensorium, Renal dysfunction, UTI, Shock, Leucocytosis Thrombocytopenia, Renal Stone on culture the most common organism s were E. coli, K. pneumonia and majority of the patients survived with the surgical treatment like nephrectomy.
Authors and Affiliations
Shripad Vithalrao Dhanorkar, Balasaheb Eknathrao Karad
Keywords
Related Articles
- EP ID EP360966
- DOI -
- Views 80
- Downloads 0
A study of complication and outcome of dengue managed at tertiary care institute
Background: Dengue virus infection is a major, growing public health problem with an estimated 2.5 billion people at risk of infection. Dengue viruses can cause a wide variety of clinical illnesses ranging from mildly sy...
A study of clinico-demographic profile of different opportunistic pulmonary infections in HIV/AIDS patients at teaching hospital
Background: HIV/AIDS most frequently affects the lungs and the failure of the respiratory system is one of the leading causes of death in these patients. Opportunistic pulmonary infection in HIV positive patients may hav...
Attributable morbidity and mortality of ventilatorassociated pneumonia in patients of respiratory failure
Background: Patients who are intubated and on mechanical ventilation are more prone to develop ventilator associated pneumonia (VAP). Comorbidities and other risk factors contribute to the mortality due to VAP in mechani...
A Study of effectiveness of Glyceryl Trinitrate Ointment versus Surgical Management of patients with Chronic Anal Fissure at tertiary health care center
Background: Anal fissure consists essentially of crack in the skin-lined part of anal canal which often shows a considerable reluctance to heal Aims and Objectives: To Study effectiveness of Glyceryl Trinitrate Ointment...
Clinical Profile, etiology and Outcome in cerebral venous sinus thrombosis
Background: Cerebral venous sinus thrombosis (CVST) is an uncommon condition, with extremely diverse clinical features, predisposing factors, brain imaging findings, and outcome Aims and Objectives: To study Clinical Pro...