Focal Acute Pyelonephritis in Two Months Pregnant Woman: A Case Report

Abstract

Acute pyelonephritis is a bacterial infection of the renal pelvis and parenchyma, most commonly seen in young women. Complicated and uncomplicated pyelonephritis, xanthogranulomatous pyelonephritis, and tuberculosis are all urinary tract infections for which imaging evaluation adds diagnostic information important for patient care. The incidence of focal acute pyelonephritis parallels that of lower urinary tract infection, approximately five times more common in female with a sharp increase following puberty. Diagnosis is typically based on characteristics clinical feature and abnormal laboratory values. Imaging aids further assessment. Here we present a case of young pregnant women who reported with severe right loin pain and burning micturition for an emergency ultrasound. Ultrasound showed features of acute pyelonephritis. Routine urine examination showed plenty of pus cells and absence of RBC. Considering risk: benefit ratio, the clinician performed CT scan which confirms the diagnosis.

Sir Salimullah Med Coll J 2022; 30: 93-95