Pyelonephritis echocardiography and ultrasound: Difference between revisions

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Latest revision as of 23:54, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

Overview

There are no echocardiography findings associated with pyelonephritis. Ultrasonography is an effective non-invasive technique in the diagnosis of pyelonephritis. It is sometimes used as a replacement of cortical scintigraphy in the diagnosis of acute pyelonephritis in children.

Echocardiography

There are no echocardiography findings associated with pyelonephritis

Ultrasound

The diagnosis of pyelonephritis using ultrasound may feature the following:^[1]^[2]^[3]^[4]

In case of recurrent urinary tract infections, it can help to rule out presence of anatomical defects like polycystic kidney disease.
Emphysematous pyelonephritis: Ultrasound will present an enlarged kidney containing air filled regions within the renal parenchyma, with shadowing shown posterior to the defect. It might not be as helpful in detecting the depth of involvement and stones can also show posterior shadowing.
Xanthogranulomatous pyelonephritis: Ultrasound shows the inflammatory mass, with central shadowing depicting renal calculi.

Xanthogranulomatous Pyelonephritis USG. Source:Radiopedia^[1]

References

↑ ^1.0 ^1.1 ^1.2 Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872
↑ Fowler JE, Perkins T (1994). "Presentation, diagnosis and treatment of renal abscesses: 1972-1988". J Urol. 151 (4): 847–51. PMID 8126807.
↑ Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG; et al. (2011). "International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases". Clin Infect Dis. 52 (5): e103–20. doi:10.1093/cid/ciq257. PMID 21292654.
↑ Kawashima A, LeRoy AJ (2003). "Radiologic evaluation of patients with renal infections". Infect Dis Clin North Am. 17 (2): 433–56. PMID 12848478.

Template:WH Template:WS

[https://radiopaedia.org/-1] 1.0 ^1.1 ^1.2 Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872

[pmid8126807-2] Fowler JE, Perkins T (1994). "Presentation, diagnosis and treatment of renal abscesses: 1972-1988". J Urol. 151 (4): 847–51. PMID 8126807.

[pmid21292654-3] Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG; et al. (2011). "International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases". Clin Infect Dis. 52 (5): e103–20. doi:10.1093/cid/ciq257. PMID 21292654.

[pmid12848478-4] Kawashima A, LeRoy AJ (2003). "Radiologic evaluation of patients with renal infections". Infect Dis Clin North Am. 17 (2): 433–56. PMID 12848478.

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 __NOTOC__
 {{Pyelonephritis}}
+{{CMG}}; {{AE}} {{USAMA}}
+==Overview==
+There are no echocardiography findings associated with pyelonephritis. [[Ultrasonography]] is an effective non-invasive technique in the diagnosis of pyelonephritis. It is sometimes used as a replacement of cortical [[Nuclear medicine|scintigraphy]] in the diagnosis of acute pyelonephritis in children.
+==Echocardiography==
+There are no echocardiography findings associated with pyelonephritis
+== Ultrasound ==
+The diagnosis of pyelonephritis using ultrasound may feature the following:<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872</ref><ref name="pmid8126807">{{cite journal| author=Fowler JE, Perkins T| title=Presentation, diagnosis and treatment of renal abscesses: 1972-1988. | journal=J Urol | year= 1994 | volume= 151 | issue= 4 | pages= 847-51 | pmid=8126807 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8126807  }} </ref><ref name="pmid21292654">{{cite journal| author=Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG et al.| title=International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. | journal=Clin Infect Dis | year= 2011 | volume= 52 | issue= 5 | pages= e103-20 | pmid=21292654 | doi=10.1093/cid/ciq257 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21292654  }} </ref><ref name="pmid12848478">{{cite journal| author=Kawashima A, LeRoy AJ| title=Radiologic evaluation of patients with renal infections. | journal=Infect Dis Clin North Am | year= 2003 | volume= 17 | issue= 2 | pages= 433-56 | pmid=12848478 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12848478  }} </ref>
-{{CMG}}
+* In case of recurrent [[Urinary tract infection|urinary tract infections]], it can help to rule out presence of anatomical defects like [[polycystic kidney disease]].
-==Overview==
+* [[Emphysematous pyelonephritis]]: Ultrasound will present an enlarged [[kidney]] containing air filled regions within the renal [[parenchyma]], with shadowing shown posterior to the defect. It might not be as helpful in detecting the depth of involvement and [[Kidney stone|stones]] can also show posterior shadowing.
-Ultrasonography is an effective non invasive technique in the diagnosis of pyelonephritis. It is sometime used as a replacement of cortical scintigraphy in the diagnosis of acute pyelonephritis in children.<ref name="pmid8126807">{{cite journal| author=Fowler JE, Perkins T| title=Presentation, diagnosis and treatment of renal abscesses: 1972-1988. | journal=J Urol | year= 1994 | volume= 151 | issue= 4 | pages= 847-51 | pmid=8126807 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8126807  }} </ref><ref name="pmid21292654">{{cite journal| author=Gupta K, Hooton TM, Naber KG, Wullt B, Colgan R, Miller LG et al.| title=International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. | journal=Clin Infect Dis | year= 2011 | volume= 52 | issue= 5 | pages= e103-20 | pmid=21292654 | doi=10.1093/cid/ciq257 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21292654  }} </ref><ref name="pmid12848478">{{cite journal| author=Kawashima A, LeRoy AJ| title=Radiologic evaluation of patients with renal infections. | journal=Infect Dis Clin North Am | year= 2003 | volume= 17 | issue= 2 | pages= 433-56 | pmid=12848478 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12848478  }} </ref>
+* Xanthogranulomatous pyelonephritis: Ultrasound shows the inflammatory mass, with central shadowing depicting [[renal calculi]].
+[[Image:Xanthogranulomatous-pyelonephritis-8.jpg|thumb|left|500px|Xanthogranulomatous Pyelonephritis USG. Source:Radiopedia<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872</ref>]]
-==Ultrasound==
+[[Image:Pyelo USG.gif|thumb|left|500px|Xanthogranulomatous Pyelonephritis USG. Source: Radiopedia<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872</ref>]]
-The diagnosis of pyelonephritis using ultrasound can have the following important aspects to be noticed.<ref name="https://radiopaedia.org/">Radiopaedia.org. Case courtesy of Dr Ian Bickle, <a href="https://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="https://radiopaedia.org/cases/20872">rID: 20872</ref>
-* In patients with recurrent ascending urinary tract infections, it may be necessary to exclude an anatomical abnormality, such as vesicoureteral reflux (urine from the bladder flowing back into the [[ureter]]) or [[polycystic kidney disease]]. Investigations that are commonly used in this setting are [[medical ultrasonography|ultrasound]] of the kidneys or [[voiding cystourethrogram|voiding cystourethrography]].
+<br style="clear:left" />
-* Emphysematous Pyelonephritis:  Ultrasound will characteristically show an enlarged kidney containing high-amplitude echoes within the renal parenchyma, often with low-level posterior dirty [[acoustic shadowing]]; however, the depth of parenchymal involvement may be underestimated at ultrasound, and multiple renal stones may also manifest as echogenic foci without "clean" posterior shadowing.
-* Xanthogranulomatous Pyelonephritis:  At sonography, the inflammatory mass itself is [[hypoechoic]], with central [[echogenic]] foci corresponding to renal calculi.
-[[Image:Xanthogranulomatous-pyelonephritis-8.jpg|Xanthogranulomatous Pyelonephritis USG|500px]]
 ==References==
 {{Reflist|2}}
+{{WH}}
+{{WS}}
-[[Category:Needs content]]
+[[Category:Medicine]]
+[[Category:Infectious disease]]
 [[Category:Nephrology]]
-[[Category:Inflammations]]
+[[Category:Urology]]
-[[Category:Disease]]
+[[Category:Up-To-Date]]
-[[Category:Primary care]]
+[[Category:Emergency medicine]]
-[[Category:Needs overview]]
+[[Category:Radiology]]
-{{WH}}
-{{WS}}