Nursing Central is an award-winning, complete mobile solution for nurses and students. Tell a friend about us, add a link to this … on the basis of characteristic colicky pain or the presence of a disproportionate amount of blood in the urine), a kidneys, ureters, and bladder x-ray (KUB film) may assist in identifying radioopaque stones. , A DMSA scan is a radionuclide scan that uses dimercaptosuccinic acid in assessing the kidney morphology. Most affected individuals present with recurrent fevers and urosepsis, anemia, and a painful kidney mass.  The mechanism of infection is usually spread up the urinary tract. pyel-, pyelo-. This section deals with all med terms beginning with the letter P, and features roots, suffixes and prefixes in medical terminology. Create. samsutton19963. Children with acute pyelonephritis can be treated effectively with oral antibiotics (cefixime, ceftibuten and amoxicillin/clavulanic acid) or with short courses (2 to 4 days) of intravenous therapy followed by oral therapy. If a pilonidal cyst becomes infected, the resulting abscess is often extremely painful. The treatment regimen is selected based on local resistance data and the susceptibility profile of the specific infecting organism(s). Hospital-acquired infections may be due to coliform bacteria and enterococci, as well as other organisms uncommon in the community (e.g., Pseudomonas aeruginosa and various species of Klebsiella). Collins Dictionary of Medicine © Robert M. Youngson 2004, 2005. Other common manifestations include kidney stones and loss of function of the affected kidney.  Symptoms most often include fever and flank tenderness. They usually clear up wit…  As most cases of pyelonephritis are due to bacterial infections, antibiotics are the mainstay of treatment. , Chronic pyelonephritis causes persistent flank or abdominal pain, signs of infection (fever, unintentional weight loss, malaise, decreased appetite), lower urinary tract symptoms and blood in the urine. , Physical examination may reveal fever and tenderness at the costovertebral angle on the affected side.  If intravenous therapy is chosen, single daily dosing with aminoglycosides is safe and effective. Oral trimethoprim/sulfamethoxazole is an appropriate choice for therapy if the bacteria is known to be susceptible. , Xanthogranulomatous pyelonephritis is an unusual form of chronic pyelonephritis characterized by granulomatous abscess formation, severe kidney destruction, and a clinical picture that may resemble renal cell carcinoma and other inflammatory kidney parenchymal diseases. This condition causes the kidneys to swell and can cause permanent damage. The kidney parenchyma presents in the interstitium abscesses (suppurative necrosis), consisting in purulent exudate (pus): neutrophils, fibrin, cell debris and central germ colonies (hematoxylinophils). The combination of the leukocyte esterase test and the nitrite test (with either test proving positive) has a sensitivity of 75 to 84 percent and a specificity of 82 to 98 percent for urinary tract infection. Pyelonephritis can be … There are approximately 250,000 cases of acute pyelonephritis each year, resulting in more than 100,000 hospitalizations. Only $1/month. Browse.  If trimethoprim/sulfamethoxazole is used when the susceptibility is not known, it is useful to initiate treatment with a single intravenous dose of a long-acting antibiotic such as ceftriaxone or an aminoglycoside. , Chronic pyelonephritis implies recurrent kidney infections and can result in scarring of the renal parenchyma and impaired function, especially in the setting of obstruction.  Once present it is generally treated with antibiotics, such as ciprofloxacin or ceftriaxone. Search completed in 0.023 seconds. Pyelonephritis definition is - inflammation of both the lining of the renal pelvis and the parenchyma of the kidney especially due to bacterial infection.  Drinking cranberry juice does not appear to provide much if any benefit in decreasing urinary tract infections. Search pyelo- and thousands of other words in English definition and synonym dictionary from Reverso. Infants and the elderly are also at increased risk, reflecting anatomical changes and hormonal status. 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