Open AccessComplicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management
Author(s) -
Mouna Mnif,
Mahdi Kamoun,
F. Hadj Kacem,
Z. Bouaziz,
Nadia Charfi,
F. Mnif,
B. Ben Naceur,
N. Rekik,
M. Abid
Publication year - 2013
Publication title -
indian journal of endocrinology and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.456
H-Index - 28
eISSN - 2230-9500
pISSN - 2230-8210
DOI - 10.4103/2230-8210.111637
Subject(s) - medicine , diabetes mellitus , genitourinary system , urinary system , pathogenesis , renal papillary necrosis , intensive care medicine , radiological weapon , surgery , kidney , endocrinology
Diabetes mellitus has a number of long-term effects on the genitourinary system. These effects predispose to bacterial urinary tract infections (UTIs) in the patient with diabetes mellitus. Complicated UTIs are also common and potentially life-threatening conditions. They include emphysematous pyelonephritis, emphysematous pyelitis/cystitis, xanthogranulomatous pyelonephritis, renal/perirenal abscess, and renal papillary necrosis. Improved outcomes of these entities may be achieved by early diagnosis, knowledge of common predisposing factors, appropriate clinical and radiological assessment, and prompt management. Herein we review complicated UTIs associated with diabetes mellitus in terms of pathogenesis, clinical manifestations, radiological features, and current management options.