Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation

Detalhes bibliográficos
Autor(a) principal: Nascimento, Rafael Ferreira
Data de Publicação: 2020
Outros Autores: Morna, Carolina, Bilreiro, Mariana, Correia, Ines
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10400.26/35856
Resumo: We describe a rare presentation of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A 68-year-old female presented to the emergency department with a 3 day history of cystitis. General examination revealed the acute onset of pain in the left flank accompanied by fever and chills. Blood tests revealed leucocytosis 25,400×109/L and C-reactive protein 495 mg/L (<6.1), while urinary sediment analysis revealed many leucocytes and gram-negative bacteria. The patient was admitted with acute piyelonephritis. On the third day of admission, the urine culture isolated Escherichia coli sensitive to the antibiotic prescribed; however, the patient clinically deteriorated. A computed tomography scan revealed a ruptured abdominal aortic aneurysm involving the left renal artery. The patient underwent an exploratory laparotomy but uncontrollable haemorrhage led to a fatal outcome. This case highlights a rare case of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A computed tomography scan or abdominal ultrasound should be considered whenever a patient has acute pyelonephritis with a C-reactive protein >400 mg/L in order to exclude complications and other potentially fatal pathologies.
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spelling Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentationacute pielonefritisruptured abdominal aorticEscherichia coliMadeira IslandPortugalRegião Autónoma da MadeiraWe describe a rare presentation of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A 68-year-old female presented to the emergency department with a 3 day history of cystitis. General examination revealed the acute onset of pain in the left flank accompanied by fever and chills. Blood tests revealed leucocytosis 25,400×109/L and C-reactive protein 495 mg/L (<6.1), while urinary sediment analysis revealed many leucocytes and gram-negative bacteria. The patient was admitted with acute piyelonephritis. On the third day of admission, the urine culture isolated Escherichia coli sensitive to the antibiotic prescribed; however, the patient clinically deteriorated. A computed tomography scan revealed a ruptured abdominal aortic aneurysm involving the left renal artery. The patient underwent an exploratory laparotomy but uncontrollable haemorrhage led to a fatal outcome. This case highlights a rare case of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A computed tomography scan or abdominal ultrasound should be considered whenever a patient has acute pyelonephritis with a C-reactive protein >400 mg/L in order to exclude complications and other potentially fatal pathologies.ElsevierRepositório ComumNascimento, Rafael FerreiraMorna, CarolinaBilreiro, MarianaCorreia, Ines2021-03-09T10:47:30Z2020-03-112020-03-11T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/35856engFerreira Nascimento R, Morna C, Bilreiro M, Correia I. Acute pyelonephritis associated with ruptured abdominal aortic aneurysm:10.12890/2020_001510info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T02:17:46Zoai:comum.rcaap.pt:10400.26/35856Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:34:32.189786Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
title Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
spellingShingle Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
Nascimento, Rafael Ferreira
acute pielonefritis
ruptured abdominal aortic
Escherichia coli
Madeira Island
Portugal
Região Autónoma da Madeira
title_short Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
title_full Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
title_fullStr Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
title_full_unstemmed Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
title_sort Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation
author Nascimento, Rafael Ferreira
author_facet Nascimento, Rafael Ferreira
Morna, Carolina
Bilreiro, Mariana
Correia, Ines
author_role author
author2 Morna, Carolina
Bilreiro, Mariana
Correia, Ines
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório Comum
dc.contributor.author.fl_str_mv Nascimento, Rafael Ferreira
Morna, Carolina
Bilreiro, Mariana
Correia, Ines
dc.subject.por.fl_str_mv acute pielonefritis
ruptured abdominal aortic
Escherichia coli
Madeira Island
Portugal
Região Autónoma da Madeira
topic acute pielonefritis
ruptured abdominal aortic
Escherichia coli
Madeira Island
Portugal
Região Autónoma da Madeira
description We describe a rare presentation of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A 68-year-old female presented to the emergency department with a 3 day history of cystitis. General examination revealed the acute onset of pain in the left flank accompanied by fever and chills. Blood tests revealed leucocytosis 25,400×109/L and C-reactive protein 495 mg/L (<6.1), while urinary sediment analysis revealed many leucocytes and gram-negative bacteria. The patient was admitted with acute piyelonephritis. On the third day of admission, the urine culture isolated Escherichia coli sensitive to the antibiotic prescribed; however, the patient clinically deteriorated. A computed tomography scan revealed a ruptured abdominal aortic aneurysm involving the left renal artery. The patient underwent an exploratory laparotomy but uncontrollable haemorrhage led to a fatal outcome. This case highlights a rare case of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A computed tomography scan or abdominal ultrasound should be considered whenever a patient has acute pyelonephritis with a C-reactive protein >400 mg/L in order to exclude complications and other potentially fatal pathologies.
publishDate 2020
dc.date.none.fl_str_mv 2020-03-11
2020-03-11T00:00:00Z
2021-03-09T10:47:30Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://hdl.handle.net/10400.26/35856
url http://hdl.handle.net/10400.26/35856
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Ferreira Nascimento R, Morna C, Bilreiro M, Correia I. Acute pyelonephritis associated with ruptured abdominal aortic aneurysm:
10.12890/2020_001510
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
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