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ISSN 2221-2434 (Electronic)

2013, Number 3

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Finlay 2013; 3 (3)

Type 2 Diabetes and Pyonephrosis: a Potentially Fatal Complication. A Case Report

Serra VMÁ, Milian ER

Language: Spanish
References: 23
Page: 191-197
PDF size: 212.74 Kb.


ABSTRACT

Bacterial infections of the urinary tract are a common problem in daily medical practice. They are very frequent and severe complications affecting diabetic patients. Motivation to report this case lies in its relevance to teaching, and invites reflection on how clinical practice of this entity is being performed. We report the case of a patient who started suffering from pain in the left lumbar region, radiating toward the front of the abdomen on that side of the body as far as the thigh, two months before hospital presentation. The pain was severe, constant and stabbing; it was relieved by analgesics and sometimes by bending the leg on that side. In addition, the patient experienced fatigue, loss of appetite, nausea, fever (38-39˚C), and burning sensation with frequent urination of small amounts of dark urine. Physical examination led to the diagnostic possibility of obstructive pyonephrosis which was confirmed by computed tomography. Medical treatment was applied and a left radical nephrectomy was performed.


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