However, this was associated with a high morbidity and complication rate, including sepsis, woundinfections, peritonitis, and fistulas.[emedicine.medscape.com]
In these cases, consider conducting an ultrasonographically guided aspiration of the hydronephrotic fluid for microscopic examination to establish the diagnosis.[emedicine.medscape.com]
If echogenic gas is present, assume that the patient has a severe infection and possible renal injury suggestive of emphysematous pyelonephritis.[emedicine.medscape.com]
[…] cases and does not increase the risk of sepsis and bacteremia. [5] Disadvantages of retrograde decompression include lack of antegrade access for radiologic studies, a smaller-caliber urinary drainage catheter than with percutaneous access, increased irritative[emedicine.medscape.com]
Community-acquired methicillin-resistant Staphylococcusaureus as a cause of rapidly progressing pyelonephritis with pyonephrosis, necessitating emergent nephrectomy. Am J Med Sci. 2009 Sep. 338(3):233-5. [Medline].[emedicine.medscape.com]
Treatment Controversies and Considerations Treatment of infections occurring from pyelonephritis [42] and pyonephrosis is changing rapidly and dramatically.[emedicine.medscape.com]
The decreased function of the affected kidney that accompanies active infection typically prevents visualization on contrast studies.[emedicine.medscape.com]