Alkaline encrusted pyelitis

Acta Clinica Belgica
S Van HoolandB Maes

Abstract

Alkaline encrusted pyelitis is an infectious disease characterised by encrustations in the wall of the upper urinary tract, surrounded by severe inflammation. Destruction of native kidneys and kidney grafts may occur, resulting in end stage renal failure. Corynebacterium group D2, an urea splitting microorganism, is nearly exclusively associated with this disease. The most important predisposing factors are previous urological procedures and an immunosuppressed state. In a suggestive clinical context, diagnosis should be made with unenhanced computed tomography findings and bacteriologic isolation of the responsible microorganism. The treatment is threefold: appropriate antibiotic therapy, by preference with glycopeptides, acidification of urine and chemolysis, and if needed, surgical removal of encrustations. We report the case of a patient who was diagnosed with this rare condition and could escape maintenance dialysis after correct diagnosis was made and conservative treatment was started using antibiotics and combined oral and local acidification.

References

Jun 17, 1998·The Journal of Urology·P MeriaA Le Duc
Jun 22, 2000·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·P Meria, P Jungers
Jan 24, 2002·AJR. American Journal of Roentgenology·Denis ThoumasMichel Benozio
Jan 10, 2003·BJU International·E W GerharzC R J Woodhouse
Jul 29, 2004·Transplantation·Richard LeeKenneth L Brayman

❮ Previous
Next ❯

Citations

Feb 23, 2011·Radiology·Kalyani Vallurupalli, Kevin J Coakley
Feb 25, 2014·Journal of Nephrology·Laura CappuccinoRoberto Pontremoli
Mar 29, 2011·Current Problems in Diagnostic Radiology·Khaled M ElsayesJoel F Platt
Jun 19, 2008·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·F Soriano, A Tauch
May 23, 2006·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·Gulfiliz GonlusenLuan D Truong
Jan 10, 2020·Future Science OA·Albert SemaanPascal Hajj
Feb 9, 2021·Frontiers in Medicine·Els Van de PerreEmmanuel Letavernier

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie
Mounir LefiHamadi Saad
Journal of the American Society of Nephrology : JASN
Alexandre HertigPhilippe Rieu
Urology
Michael H Johnson, Seth A Strope
© 2021 Meta ULC. All rights reserved