Pyonephrosis complicated with pleural empyema – case report
Pyonephrosis is defined as the infection of the dilated renal collector system, with a variety of etiological agents. The accumulation of pus may cause the destruction of renal parenchyma, leading to renal insufficiency. The symptoms may occur early or late in the disease’s progress and can be of a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2021-12-01
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| Series: | Romanian Medical Journal |
| Subjects: | |
| Online Access: | https://rmj.com.ro/articles/2021.4/RMJ_2021_4_Art-22.pdf |
| _version_ | 1797278840266948608 |
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| author | Ioan Bida Raluca Bardan |
| author_facet | Ioan Bida Raluca Bardan |
| author_sort | Ioan Bida |
| collection | DOAJ |
| description | Pyonephrosis is defined as the infection of the dilated renal collector system, with a variety of etiological agents. The accumulation of pus may cause the destruction of renal parenchyma, leading to renal insufficiency. The symptoms may occur early or late in the disease’s progress and can be of a great variability. We present a case report of a 53-year-old female which suffered of low back pain, fever and nausea. The ultrasound and CT examination revealed 4th stage pyonephrosis caused by stone obstruction. It was also observed right encysted pleural empyema and pericardial fluid as pyonephrosis’ complications. The first part of the treatment consisted of inserting a percutaneous nephrostomy (PCN) probe along with the administration of antibiotics for the next two months, followed by radical right nephrectomy in renal insufficiency context. The postoperative evolution was favorable with no repercussions. |
| first_indexed | 2024-03-07T16:14:57Z |
| format | Article |
| id | doaj.art-69f2a7cceef44c4ab0184976ddb02bce |
| institution | Directory Open Access Journal |
| issn | 1220-5478 2069-606X |
| language | English |
| last_indexed | 2024-03-07T16:14:57Z |
| publishDate | 2021-12-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Medical Journal |
| spelling | doaj.art-69f2a7cceef44c4ab0184976ddb02bce2024-03-04T12:27:15ZengAmaltea Medical Publishing HouseRomanian Medical Journal1220-54782069-606X2021-12-0168453053210.37897/RMJ.2021.4.22Pyonephrosis complicated with pleural empyema – case reportIoan Bida0Raluca Bardan1“Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, Romania“Iuliu Hatieganu” University of Medicine and Pharmacy, Cluj-Napoca, RomaniaPyonephrosis is defined as the infection of the dilated renal collector system, with a variety of etiological agents. The accumulation of pus may cause the destruction of renal parenchyma, leading to renal insufficiency. The symptoms may occur early or late in the disease’s progress and can be of a great variability. We present a case report of a 53-year-old female which suffered of low back pain, fever and nausea. The ultrasound and CT examination revealed 4th stage pyonephrosis caused by stone obstruction. It was also observed right encysted pleural empyema and pericardial fluid as pyonephrosis’ complications. The first part of the treatment consisted of inserting a percutaneous nephrostomy (PCN) probe along with the administration of antibiotics for the next two months, followed by radical right nephrectomy in renal insufficiency context. The postoperative evolution was favorable with no repercussions. https://rmj.com.ro/articles/2021.4/RMJ_2021_4_Art-22.pdfpyonephrosispercutaneous nephrostomy probenephrectomypulmonary empyemarenal insufficiency |
| spellingShingle | Ioan Bida Raluca Bardan Pyonephrosis complicated with pleural empyema – case report Romanian Medical Journal pyonephrosis percutaneous nephrostomy probe nephrectomy pulmonary empyema renal insufficiency |
| title | Pyonephrosis complicated with pleural empyema – case report |
| title_full | Pyonephrosis complicated with pleural empyema – case report |
| title_fullStr | Pyonephrosis complicated with pleural empyema – case report |
| title_full_unstemmed | Pyonephrosis complicated with pleural empyema – case report |
| title_short | Pyonephrosis complicated with pleural empyema – case report |
| title_sort | pyonephrosis complicated with pleural empyema case report |
| topic | pyonephrosis percutaneous nephrostomy probe nephrectomy pulmonary empyema renal insufficiency |
| url | https://rmj.com.ro/articles/2021.4/RMJ_2021_4_Art-22.pdf |
| work_keys_str_mv | AT ioanbida pyonephrosiscomplicatedwithpleuralempyemacasereport AT ralucabardan pyonephrosiscomplicatedwithpleuralempyemacasereport |