HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For UTI And Pyelonephritis

default
Posted on Wed, 14 Dec 2016
Question: Following is a case of Complicated Urinary tract infection, Pyelonephritis,
Concern is can non obstructing renal calculi cause Urinary Tract Infection/Pyelonephritis?
attaching INV reports.
doctor
Answered by Dr. V. Sasanka (44 minutes later)
Brief Answer:
Unlikely but not impossible

Detailed Answer:
Hi,
I had a look at the report you have attached. The small stones in kidney are by themselves unlikely to cause acute pyelonephritis unless one if the had moved down the ureter and caused obstruction which was complicated by UTI and therefore pyelonephritis.
The CT scan you have uploaded is over one month old. If fever or loin pain are persiting, I would suggest she gets a repeat ultrasound scan of KUB done. Check CUE, Serum Creatinine, CBP too. If there is no evidence of serious infection or obstruction, she can try medical therapy for the small stones while being on a low dose antibiotic like Levofloxacin 250mg once daily at bedtime.
If there is swelling of kidney, she might need intervention like a stent.
Hope I have been able to help you.
Regards.


Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. V. Sasanka

Urologist

Practicing since :1995

Answered : 529 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For UTI And Pyelonephritis

Brief Answer: Unlikely but not impossible Detailed Answer: Hi, I had a look at the report you have attached. The small stones in kidney are by themselves unlikely to cause acute pyelonephritis unless one if the had moved down the ureter and caused obstruction which was complicated by UTI and therefore pyelonephritis. The CT scan you have uploaded is over one month old. If fever or loin pain are persiting, I would suggest she gets a repeat ultrasound scan of KUB done. Check CUE, Serum Creatinine, CBP too. If there is no evidence of serious infection or obstruction, she can try medical therapy for the small stones while being on a low dose antibiotic like Levofloxacin 250mg once daily at bedtime. If there is swelling of kidney, she might need intervention like a stent. Hope I have been able to help you. Regards.