Acute pyelonephritis and renal vein thrombosis: A case report and review of the literature

Halil Yildiz; Sandy Van Nieuwenhove; Marie Doyen; J C Yombi

doi:10.1016/j.jiac.2016.04.009

Acute pyelonephritis and renal vein thrombosis: A case report and review of the literature

J Infect Chemother. 2016 Nov;22(11):759-761. doi: 10.1016/j.jiac.2016.04.009. Epub 2016 May 24.

Authors

Halil Yildiz¹, Sandy Van Nieuwenhove², Marie Doyen³, J C Yombi³

Affiliations

¹ Department of Internal Medicine, Saint Luc University Hospital, 1200 Brussels, Belgium. Electronic address: h_tur.bel@hotmail.com.
² Department of Radiology, Saint Luc University Hospital, 1200 Brussels, Belgium.
³ Department of Internal Medicine, Saint Luc University Hospital, 1200 Brussels, Belgium.

PMID: 27234357
DOI: 10.1016/j.jiac.2016.04.009

Abstract

A 68-year-old female presented with a week history of fever and generalized weakness. Clinical examination, blood work and urinalysis were compatible with sepsis due to acute pyelonephritis. Urine cultures were positive for Escherichia coli and blood cultures were negative. After 5 days of antibiotic therapy with cefuroxime, inflammatory parameters (CRP level and white blood cell count) remained highly elevated. Abdominal CT scan showed right kidney pyelonephritis with renal and perirenal abscess and right renal vein thrombosis. The patient improved after percutaneous drainage of the perirenal abscess and anticoagulation treatment. She was discharged on hospital day 14.

Keywords: Anticoagulation; Pyelonephritis; Renal vein thrombosis.

Publication types

Case Reports

MeSH terms

Acute Disease
Aged
Anticoagulants / therapeutic use*
Drainage / methods
Female
Humans
Kidney Diseases / therapy*
Pyelonephritis / therapy*
Thrombosis / drug therapy*

Substances

Anticoagulants