Open AccessBilateral acute non-obstructive pyelonephritis presenting as acute kidney injury requiring haemodialysis
Author(s) -
Suvarna Guvvala,
Sailaja Sakam,
Michael B. Stokes,
Kalpana Uday
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-227996
Subject(s) - medicine , renal biopsy , hemodialysis , renal function , acute kidney injury , antibiotics , urinalysis , intensive care medicine , urinary system , surgery , microbiology and biotechnology , biology
A 54-year-old female patient with hypothyroidism and diabetes mellitus type 2 was brought to emergency room by the family members for acute change in mental status. The laboratory evaluation demonstrated findings consistent with acute renal failure (normal renal function 3 months prior to presentation). She was initiated on hemodialysis due to lack of improvement in renal function. Urine culture done prior to initiation of antibiotics was positive for Escherichia coli , which was later confirmed by renal biopsy. Extensive workup for the cause of renal failure including for connective tissue disease, plasmacytoma, obstruction was negative. She was treated with 6 week course of antibiotics with eventual recovery of her renal function in 4 months.