A Case of Acute Pyelonephritis Complicated with Renal Vein Thrombosis.
- Author:
Hwa Jeong LEE
1
;
Mi Hyang JUNG
;
Hee Kyoung JEONG
;
Jin Jin KIM
;
Eun Yeong MO
;
Yong Kyun KIM
;
Ho Cheol SONG
;
Euy Jin CHOI
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. drsong@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Pyelonephritis;
Renal vein;
Thrombosis
- MeSH:
Aged;
Anti-Bacterial Agents;
Female;
Fever;
Heparin, Low-Molecular-Weight;
Humans;
Pyelonephritis;
Renal Veins;
Thrombosis;
Warfarin
- From:Korean Journal of Nephrology
2009;28(1):63-66
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute pyelonephritis is a common disease in clinical practice. Renal vein thrombosis in acute pyelonephritis has become a rare complication at present because of the advances of antibiotics. The trend in management has shifted to non-surgical therapies, particularly systemic anticoagulation, except in highly selected group of patients. Here we report the case of a 67-year-old woman who got hospitalized for fever and chilling. Acute pyelonephritis was diagnosed by clinical manifestation and positive urine and blood cultures. Computed tomography demonstrated left pyelonephritis and ipsilateral renal vein thrombosis. She was fully recovered after treatment with antibiotics, low molecular weight heparin and warfarin for 8 weeks.