Montoya-Chinchilla R, Berrio-Campos R, Veas-López AB, Ortiz-Romero MM, García-Espona C, Moreno-Avilés J

Language: Spanish
References: 0
Page: 138-142
PDF size: 275.36 Kb.

ABSTRACT

Background: encrusted pyelitis is an infectious disease that is difficult to both diagnose and treat. It is characterized by urothelial incrustations in the wall of the urinary tract.
Clinical case: a 75-year-old man presented with a moderate case of bilateral obstructive uropathy secondary to incrusted pyelitis and ureteral stones. After several months of triple therapy with oral antibiotic and oral and intrarenal acidifiers, the patient died due to urinary sepsis arising from intense immunologic deterioration caused by his underlying disease, albeit with a clear reduction of stone burden.
Discussion: encrusted pyelitis treatment is complex and of long duration. The prescription of different drug combinations can significantly reduce the stone burden in these patients.