Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Study of Correlation of Clinical Parameters and Radiological Abnormalities in Acute Pyelonephritis in a Tertiary Care Hospital
Ahemer Siddiqui, Mahesh Koulagi, Akshay Biskop, K.S. Supritha and K. Kiran
Page: 221-226 | Received 20 Nov 2024, Published online: 23 Jan 2025
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Abstract
Pyelonephritis is a suppurative infection of the kidneys most commonly due to ascent of bacteria from lower urinary tract. Diagnosis of pyelonephritis is usually made on the basis of signs and symptoms of fever, flank pain, dysuria etc. Imaging modality (USG abdomen/CT) is required for precise diagnosis that helps in prompt diagnosis and plan necessary interventions. present study was aimed to correlate the clinical and biochemical parameters with radiological findings among patients with pyelonephritis. Study included 107 patients admitted with diagnosis of Acute Pyelonephritis The clinical and laboratory/biochemical parameters were compared with radiological abnormalities. Mean age of patients was 48.86 years, majority of them were >40 years of age, with female predominance. The mean duration of fever (days) was 8.68±6.90 days, the mean duration of Leukocytosis (days) was 6.39±3.06 days and the mean duration of hospital stay was 11.71±5.86 days. The mean TLC (Thousand x 10³μL) was 13.88±6.17, mean CRP (mg/L) was 60.00±22.64 and the mean peak body temperature (°C) was 37.67±0.76. Diabetes was the most common comorbidity. Urine culture was positive in 83 (77.6%) participants, with E coli as most common organism isolated (n=69). AKI was observed in 58 (54.2%) patients and CKD was observed in 13 (12.1%) patients. The most common CT finding was bulky kidney with perinephric fat stranding (99.1%). EPN was observed in 29% patients. Clinical parameters in the form of duration of leukocytosis, fever and hospital stay along with biochemical parameters‐ total WBC counts and CRP levels correlated with hydroureteronephrosis and air foci on CT. n our study, clinical and biochemical parameters were related to hydroureteronephrosis and air foci observed in CT. These findings may help in predicting the clinical course and create a plan for treatment.
How to cite this article:
Ahemer Siddiqui, Mahesh Koulagi, Akshay Biskop, K.S. Supritha and K. Kiran. Study of Correlation of Clinical Parameters and Radiological Abnormalities in Acute Pyelonephritis in a Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.2.221.226
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.2.221.226