Bacterial infection of the kidney. Pyelonephritis can be acute (sudden) or chronic (slow, subtle, and stubborn). It is most often due to the ascent of bacteria from the bladder up the ureters to infect the kidneys. The symptoms of pyelonephritis include flank (side) pain, fever, shaking chills, sometimes foul-smelling urine, urgency (to urinate), frequency (urinating), and general malaise. Tenderness is elicited on gently tapping over the kidney with a fist (percussion). The laboratory examination of the urine (the urinalysis) reveals white blood cells (pyuria, i.e. pus in the urine) and bacteria in the urine (bacteriuria). There is usually also an increase in circulating white cells in the blood (leucocytosis). Treatment involves appropriate antibiotics.
* * *
Inflammation of the renal parenchyma, calices, and pelvis, particularly due to local bacterial infection. [pyelo- + G. nephros, kidney, + -itis, inflammation]
- acute p. acute inflammation of the renal parenchyma and pelvis characterized by small cortical abscesses and yellowish streaks in the medulla due to pus in the collecting tubules and interstitial tissue.
- ascending p. p. due to bacterial infection from the lower urinary tract, particularly by reflux of infected urine.
- chronic p. chronic inflammation of the renal parenchyma and pelvis resulting from bacterial infection, characterized by calyceal deformities and overlying large flat renal scars with patchy distribution.
- xanthogranulomatous p. a chronic inflammatory condition diffusely involving the entire kidney and usually resulting in a grossly enlarged and functionless kidney that can grossly resemble a neoplasm or tuberculosis; histologically, it is characterized by an inflammatory reaction with numerous lipid-laden, foamy histiocytes mixed with lymphocytes and plasma cells to form multiple granulomas.

* * *

py·elo·ne·phri·tis .pī-(ə-)lō-ni-'frīt-əs n, pl -phrit·i·des -'frit-ə-.dēz inflammation of both the parenchyma of a kidney and the lining of its renal pelvis esp. due to bacterial infection
py·elo·ne·phrit·ic -'frit-ik adj

* * *

bacterial infection of the kidney substance. In acute pyelonephritis, the patient has pain in the loins, a high temperature, and shivering fits. Treatment is by the administration of an appropriate antibiotic, and a full urological investigation is conducted to determine any underlying abnormality and prevent recurrence. In chronic pyelonephritis, the kidneys become small and scarred and kidney failure ensues. vesicoureteric reflux in childhood is one of the causes.

* * *

py·elo·ne·phri·tis (pi″ə-lo-nə-friґtis) [pyelo- + nephr- + -itis] inflammation of the kidney and renal pelvis because of bacterial infection; it begins in the interstitial tissues (interstitial nephritis) and rapidly extends to involve the tubules (tubulointerstitial nephritis), glomeruli (glomerulonephritis), and then the renal blood vessels.

Medical dictionary. 2011.

Игры ⚽ Поможем написать курсовую

Look at other dictionaries:

  • Pyelonephrītis — (griech.), Entzündung des Nierenbeckens und der Nierensubstanz, s. Nierenkrankheiten und Nierenoperationen …   Meyers Großes Konversations-Lexikon

  • Pyelonephritis — Pyelonephritis,   mit Beteiligung des angrenzenden Nierenparenchyms verlaufende Nierenbeckenentzündung. * * * Py|e|lo|ne|phri|tis, die; , ...itiden [↑Nephritis] (Med.): gleichzeitige Entzündung von Nierenbecken u. Nieren …   Universal-Lexikon

  • pyelonephritis — [pī΄ə lō΄nə frīt′əs] n. [< Gr pyelos (see PYELITIS) + NEPHRITIS] infection of one or both kidneys, usually involving both the pelvis and the functional tissue …   English World dictionary

  • Pyelonephritis — Klassifikation nach ICD 10 N10 Akute Pyelonephritis N11.0 Nichtobstruktive, mit Reflux verbundene chronische Pyelonephritis N11.1 Chronische …   Deutsch Wikipedia

  • Pyelonephritis — ICD9 = ICD9|590, ICD9|592.9 ICDO = Caption = OMIM = OMIM mult = MedlinePlus = 000522 eMedicineSubj = ped eMedicineTopic = 1959 DiseasesDB = 29255 DiseasesDB mult = DiseasesDB2|11052 MeshID = D011704 Pyelonephritis is an ascending urinary tract… …   Wikipedia

  • pyelonephritis — pyelonephritic /puy euh loh neuh frit ik, puy el oh /, adj. /puy euh loh neuh fruy tis, puy el oh /, n. Pathol. inflammation of the kidney and its pelvis, caused by a bacterial infection. [1865 70; PYELO + NEPHRITIS] * * * Infection (usually… …   Universalium

  • pyelonephritis — n. bacterial infection of the kidney substance. In acute pyelonephritis, the patient has pain in the loins, a high temperature, and shivering fits. Treatment is by the administration of an appropriate antibiotic, and a full urological… …   The new mediacal dictionary

  • pyelonephritis — noun inflammation of the kidney and its pelvis caused by bacterial infection • Hypernyms: ↑urinary tract infection • Hyponyms: ↑acute pyelonephritis, ↑chronic pyelonephritis …   Useful english dictionary

  • pyelonephritis gravidarum — pyelonephritis of pregnancy a renal infection during pregnancy characterized by dilatation of the renal pelvis and the ureters; some degree of ureteric obstruction may be caused by the gravid uterus …   Medical dictionary

  • pyelonephritis — noun Etymology: New Latin Date: 1866 inflammation of both the lining of the pelvis and the parenchyma of the kidney • pyelonephritic adjective …   New Collegiate Dictionary

Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”