Clinical Manifestations of Acute Pyelonephritis

Pyelonephritis refers to the mucous membrane of renal pelvis and renal parenchyma’infectious diseases. Pyelonephritis often occur to females. This paragraph will introduce the manifestations of Pyelonephritis.

Acute pyelonephritis

Pyelonephritis can occurs in all ages, but most common occurs to women of childbearing age. Pyelonephritis happened abruptly and basically. The clinical manifestations of Pyelonephritis are as the followings.

1. The general symptoms of Acute Pyelonephritis are high fever, chills. The body temperature can reach 38 or 39 ℃, sometimes also can be as high as 40 ℃. The thermal types of Acute Pyelonephritis are different, generally is remittent type. But sometimes also can be intermittent or missed and always associated with headache, body aches, fever friends great khan, etc.

2. Urinary tract patients often with the symptom of low back pain, mostly dull pain or ache. The back pain have different degree, a few abdominal cramps, along the lost radiation in the direction of the bladder, ureter physical exams in ureteral point or rib waist point have tenderness, renal knocking positive pain. Patients often have bladder irritation symptoms such as urinary frequency, urgency, urine pain, infection in the morning. Children patients with symptoms of urinary system are often not obvious, have disease except the systemic symptom of high fever. Convulsions and seizures are common seen.

3. Gastrointestinal symptoms of Acute pyelonephritis can be loss of appetite, nausea, vomiting, epigastric or in individual patients can have full abdomen pain.

Chronic pyelonephritis

Symptom of Chronic Pyelonephritis is lighter than the Acute pyelonephritis’and sometimes can be presented with asymptomatic bacteriuria. More than half of Chronic pyelonephritis patients had acute pyelonephritis medical history, followed by lack of power, low thermal, the symptom such as anorexia and waist sour backache, accompanied by urinary frequency, urgency, urine pain and urinary irritation symptoms.

Chronic pyelonephritis has complex clinical manifestations. Chronic pyelonephritis is easy to break out repeatedly. Its reason is:

(1)the existence of the inducing factors;

(2) the renal pelvis, calyces mucosa nipple deformations of scar is easy to latent pathogen;

(3) after long-term use of antibiotics, bacterial become resistant, or move into the cells, lose antibiotics antibacterial ability;

(4) in the role of humoral immunity or antibiotics, bacteria cannot form cell membrane, exist in the form of virgin pulp quality, under the environment of medulla permeability is still alive. So chronic pyelonephritis is considered to be more difficult to effect a radical cure and gradual progression of disease.

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