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Urinary tract infection UTI dr,mohamed fawzi alshahwani
UTI is an inflammatory response of the urothelium to bacterial invasion Bacteriuria the presence of bacteria in the urine. Pyuria the presence of white blood cells (WBCs) in the urine
Ascending Route. Hematogenous Route. Lymphatic Route. Direct extension. Urinary Pathogens. E. coli is by far the most common cause of UTIs, accounting for 85 of community-acquired and 50 of hospital-acquired infections.
Acute Pyelonephritis
Investigations
If the kidney is functioning, medical therapy can be considered. Nephrectomy is recommended for nonfunctioning kidney and for patients who do not improve after a few days of therapy .
Xanthogranulomatous Pyelonephritis
is a rare, severe, chronic renal infection typically resulting in diffuse renal destruction. Most cases are unilateral and result in a nonfunctioning, enlarged kidney usually associated with obstructive uropathy secondary to nephrolithiasis.