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Does acute checystitis be a complication of acute pyelonephritis? [Medeniyet Med J]
Medeniyet Med J. 2009; 24(1): 32-34

Does acute checystitis be a complication of acute pyelonephritis?

Abdulkadir Küçükbayrak1, Keziban Demirli2, Davut Özdemir2, Burhan Yazıcı3, Ali Kayıkçı4, İsmet Özaydın5
1Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Ankara
2Duzce University School of Medicine, Department of Infectious Diseases and Clinical Microbiology, Duzce
3Duzce University School of Medicine, Department of Radiology, Duzce
4Duzce University School of Medicine, Department of Urology, Duzce
5Duzce University School of Medicine, Department of General Surgery, Duzce

Urinary tract infections are one of the most common infections in outpatient. Acute pyelonephritis is an upper urinary tract infection. Infections of the biliary tract are most often associated with obstruction to the flow of bile. Twenty-four years old female patient admitted to emergency clinic with complaints of fever, chill, shivering, myalgia, arthralgia, nausea, vomitting and right sided abdominal pain. In her past medical history, there was no disease other than nephrolithiasis. In her vital signs, body temperature was 39.8°C. In physical examination, there were pain at deep palpation of right upper quadrant of abdomen and right costovertebral angle.Also, there was Murphy sign. Other system examination was normal. At the admission time, in laboratory examination;
white blood count was 15.270/mm3 with 90 % of neutrophile. Microscobic examination of urine showed puyuria. Abdominal ultrasound revealed edema and thickening of fundus (5.3 mm) of gall bladder and dilatation of right proximal urether and mucosal edema of right renal pelvis and proximal urether. Abdominal computerize tomography showed 2x2.5x5 cm hypodense lesion with irregular border at the cortical region of the middle zone of right kidney and hypodense effussion around the gall bladder. With the diagnosis of pyelonephritis, renal abscess and acute cholecystitis treatment of ceftriaxone
2x1 gr/day and ornidasole 2x500 mg/day was given for 3 weeks. There were no other complaints in 6 months of follow.

Keywords: Acute pyelonephritis, acute cholecystitis, complication


Akut kolesistit akut pyelonefritin bir komplikasyonu olabilir mi?

Abdulkadir Küçükbayrak1, Keziban Demirli2, Davut Özdemir2, Burhan Yazıcı3, Ali Kayıkçı4, İsmet Özaydın5
1Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara
2Düzce Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Düzce
3Düzce Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Düzce
4Düzce Üniversitesi Tıp Fakültesi, Üroloji Anabilim Dalı, Düzce
5Düzce Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Düzce

Anahtar Kelimeler: Akut pyelonefrit, akut kolesistit, komplikasyon


Abdulkadir Küçükbayrak, Keziban Demirli, Davut Özdemir, Burhan Yazıcı, Ali Kayıkçı, İsmet Özaydın. Does acute checystitis be a complication of acute pyelonephritis?. Medeniyet Med J. 2009; 24(1): 32-34

Corresponding Author: Abdulkadir Küçükbayrak, Türkiye


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