Pyonephrosis natural history, complications and prognosis: Difference between revisions
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==Natural history== | ==Natural history== | ||
* Pyonephrosis is a urological emergency. If left untreated, it can rapidly lead to [[septic shock]] and death. | * Pyonephrosis is a urological emergency. If left untreated, it can rapidly lead to [[septic shock]] and death.<ref name="pmid32139973">{{cite journal| author=Florido C, Herren JL, Pandhi MB, Niemeyer MM| title=Emergent Percutaneous Nephrostomy for Pyonephrosis: A Primer for the On-Call Interventional Radiologist. | journal=Semin Intervent Radiol | year= 2020 | volume= 37 | issue= 1 | pages= 74-84 | pmid=32139973 | doi=10.1055/s-0039-3401842 | pmc=7056339 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=32139973 }} </ref> | ||
* [[Abscess]] formation in or around the renal tissue is also possible. | * [[Abscess]] formation in or around the renal tissue is also possible. | ||
| Line 12: | Line 12: | ||
*Long-term complications of pyonephrosis are rare if prompt medical care is received. | *Long-term complications of pyonephrosis are rare if prompt medical care is received. | ||
*If not diagnosed and treated promptly, pyonephrosis can lead to septic shock causing rapid deterioration of the patient's condition. | *If not diagnosed and treated promptly, pyonephrosis can lead to septic shock causing rapid deterioration of the patient's condition. | ||
*Structural changes like scarring, fistulas, and | *Structural changes like scarring, fistulas, and abscess formations may occur if the treatment of the cause of obstruction is delayed. Additionally, permanent damage to the kidneys can develop which may require nephrectomy.<ref name="pmid6975018">{{cite journal| author=Colemen BG, Arger PH, Mulhern CB, Pollack HM, Banner MP| title=Pyonephrosis: sonography in the diagnosis and management. | journal=AJR Am J Roentgenol | year= 1981 | volume= 137 | issue= 5 | pages= 939-43 | pmid=6975018 | doi=10.2214/ajr.137.5.939 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6975018 }} </ref> | ||
==Prognosis== | ==Prognosis== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Harsh Vardhan Chawla, M.B.B.S.[2]
Natural history
- Pyonephrosis is a urological emergency. If left untreated, it can rapidly lead to septic shock and death.[1]
- Abscess formation in or around the renal tissue is also possible.
Complications
- Long-term complications of pyonephrosis are rare if prompt medical care is received.
- If not diagnosed and treated promptly, pyonephrosis can lead to septic shock causing rapid deterioration of the patient's condition.
- Structural changes like scarring, fistulas, and abscess formations may occur if the treatment of the cause of obstruction is delayed. Additionally, permanent damage to the kidneys can develop which may require nephrectomy.[2]
Prognosis
References
- ↑ Florido C, Herren JL, Pandhi MB, Niemeyer MM (2020). "Emergent Percutaneous Nephrostomy for Pyonephrosis: A Primer for the On-Call Interventional Radiologist". Semin Intervent Radiol. 37 (1): 74–84. doi:10.1055/s-0039-3401842. PMC 7056339 Check
|pmc=value (help). PMID 32139973 Check|pmid=value (help). - ↑ Colemen BG, Arger PH, Mulhern CB, Pollack HM, Banner MP (1981). "Pyonephrosis: sonography in the diagnosis and management". AJR Am J Roentgenol. 137 (5): 939–43. doi:10.2214/ajr.137.5.939. PMID 6975018.