Acute pyelonephritis presenting as acute abdomen in diabetic patients: case report

Dr Lalit Mohan Bhardwaj; Dr P C Bhattacharyya; Dr Anjan Barkataky

Volume : VII, Issue : VIII, August - 2017

Acute pyelonephritis presenting as acute abdomen in diabetic patients: case report

Dr Lalit Mohan Bhardwaj, Dr P C Bhattacharyya, Dr Anjan Barkataky

Abstract :

Acute pyelonephritis is a potentially fatal infection which often presents with varied clinical signs and symptoms. Diagnosis is often get delayed as there is no consistent set of signs and symptoms that are both sensitive and specific for the diagnosis. Failure to diagnose these cases may lead to complications especially when patients have other comorbidities like diabetes mellitus. Patients presenting as acute/ surgical abdomen may lose precious time in doing other investigations where a simple urine R/E can reveal masquerading acute pyelonephritis. A high index of clinical suspicion may be lifesaving here. Acute pyelonephritis is frequently got complicated with acute kidney injury due to hypotension and obstruction. However, pyelonephritis itself causing acute kidney injury is quite rare. Here we report two such cases.