Thursday, December 19, 2013

Pyelonephritis cause what disease?

Pyelonephritis patients, the effective antibiotic therapy, general symptoms significantly improved in 2 ~ 3 days, if not improved, the symptom is aggravating, with persistent high fever, blood cells increased significantly, consideration should be given to the occurrence of complications.Pyelonephritis common complications include:
(1) the nipple necrosis: is one of the serious complications, often occurs in patients with diabetes or urinary tract obstruction, pyelonephritis, can be complicated with sepsis or lead to acute renal failure.
(2) the surrounding renal abscess: extension to directly by the acute pyelonephritis, accounted for 90%, pathogenic bacteria are gram-negative bacilli, e. coli in common, more than there is in the unfavorable factors such as diabetes, urinary stones, the patient often appear unilateral lumbar pain and tenderness, to the healthy side bending, pain.Treatment appropriate USES powerful antibiotics, strengthen the support treatment, or the incision drainage.
(3) concurrent infectious: stones of composition is given priority to with magnesium ammonium phosphate, this is because the proteus contains urea enzyme, such as urea, which can decompose urine urea alkaline, and phosphate significantly lower solubility in alkaline urine, yi and the formation of magnesium ammonium phosphate precipitation and apatite stones.

(4) gram-negative bacillus sepsis develops in acute seriousness, pyelonephritis, performance with disaster, all of a sudden chills, fever, cause shock, mortality was 50%, should actively provide strong antibiotics, strengthen the support treatment.

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