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 81
- Downloads 0
Outcome of pneumonia among the patients: A retrospective hospital based study
Background: Pneumonia is an infection caused primarily by bacteria or viruses and less commonly by fungi and parasites. More than 100 strains of infectious agents have been identified but only a few of them are responsib...
Role of CT guided fine needle aspiration biopsy in the diagnosis of suspected lung cancer
Problem Statement: Diagnosing lung cancer in its earlier stages has always been a challenging entity for physicians, surgeons and radiologists alike. Though FNAB has an established role in diagnosing lung cancer, the pre...
Metabolic syndrome in HIV/AIDS in Manipur
Background: Metabolic syndrome is a complex disorder considered as a worldwide epidemic. A variety of endocrine and metabolic disorders are seen in the context of HIV infection which may be direct consequence of HIV infe...
Comparative study of complications associated with femoral and radial approach for coronary angiography
Background: The knowledge about different diameter of the head and neck of the femur is essential in orthopedic surgery and for radiological practice in identifying pathology of bone. The femoral normative values ar e al...
Clinical profile of elderly patients with hypertension at a tertiary care hospital
Background: Elderly persons with untreated hypertension are at higher risk of suffering from stroke and other major cardiovascular events. Knowledge of the extent of the problem in a region helps in taking the preventing...