Clinical Observation on Pyelonephritis.
- Author:
Sun Ki LEE
1
;
Jae Heung CHO
Author Information
1. Department of Urology, Seoul Adventist Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
pyelonephritis
- MeSH:
Abdominal Pain;
Calculi;
Cystitis;
Female;
Fever;
Flank Pain;
Hematuria;
Humans;
Incidence;
Low Back Pain;
Male;
Nephrectomy;
Pregnancy;
Pseudomonas;
Pyelonephritis*;
Seoul;
Sex Ratio;
Staphylococcus aureus;
Tuberculosis;
Urinary Tract;
Urology
- From:Korean Journal of Urology
1981;22(6):551-557
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The clinical observation was made on 233 cases of pyelonephritis in the Department of Urology, Seoul Adventist Hospital, during the period from 1978 to 1980. The following results were obtained: 1. The incidence of pyelonephritis was 36.7% of the total number of in-patient admitted to the Department of Urology during this period. 2. The age ranged from 10 to 70 years and most favorable age was from 31 to 40 years for 45.3%. 3. The sex ratio of male and female was about 1 : 4. 4. The most common symptoms were flank pain (89. 0%) fever, chill (81. 1%), abdominal pain (34. 0%), lumbago (29. 2%), hematuria (76.4%) and others. 5. In urine culture. The most common organisms were E. Coli (72.9%). Staphylococcus aureus (19. 6%). Pseudomonas aeruguinosa (46%) In urine A.F.B. Stain, 26 cases (11. 0%) were positive. 6. On the I.V.P. findings of pyelonephritis, 83 (35.6%) cases were normal and 150 cases (64.4%) abnormal. 7. The underlying diseases associated with pyelonephritis were cystitis (31. 3%), diabetes or debilitating illness (6.9%), tuberculosis of urinary tract (11%), calculi of urinary tract (29%), congenital anomaly of urinary tract (4. 7%), instrumentation (1.9%), pregnancy (1%), etc. (7. 2%). 8. On treatment of pyelonephritis, 143 cases were performed with conservative, medical treatment, and other cases ware performed with operation, for examples: ureterolithotomy in 51 cases, nephrectomy 26 cases, nephrolithotomy, pyelolithotomy in 6 cases, T.U.R., partial nephrectomy in each 2 cases, etc. or with combined treatment.
