Pyonephrosis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:  Harsh Vardhan Chawla, M.B.B.S.[2]

## Overview

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Patients with pyonephrosis can present with a history of Sudden onset of symptoms including fever and chills, recent urinary tract infection, previous history of pyelonephritis or nephrolithiasis. The patients can be asymptomatic or present with symptoms like fever with chills, flank pain, back pain, abdominal pain, nausea and vomiting among others.

## History

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Patients with pyonephrosis can present with a history of[1]:

* Sudden onset of symptoms including fever and chills
* Recent urinary tract infection
* History of pyelonephritis
* Nephrolithiasis
* Immunosuppression
* Diabetes mellitus, HIV AIDS
* Congenital structural defect of the urinary tract
* Tumor

## Symptoms

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Patients with pyonephrosis can be asymptomatic or present with the following symptoms[2]:

* Fever
* Chills
* Flank pain, back pain, abdominal pain
* Nausea and vomiting
* Fatigue
* Frequent urination
* Burning sensation when urinating
* Foul smelling urine
* Blood or pus in urine

These symptoms should raise the suspicion of pyonephrosis which demands emergent care.

## References

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1. ↑ Tamburrini S, Lugarà M, Iannuzzi M, Cesaro E, De Simone F, Del Biondo D; et al. (2021). "Pyonephrosis Ultrasound and Computed Tomography Features: A Pictorial Review". Diagnostics (Basel). 11 (2). doi:10.3390/diagnostics11020331. PMC 7921924 Check `|pmc=` value (help). PMID 33671431 Check `|pmid=` value (help).CS1 maint: Multiple names: authors list (link)
2. ↑ Pabon-Ramos WM, Dariushnia SR, Walker TG, d'Othée BJ, Ganguli S, Midia M; et al. (2016). "Quality Improvement Guidelines for Percutaneous Nephrostomy". J Vasc Interv Radiol. 27 (3): 410–4. doi:10.1016/j.jvir.2015.11.045. PMID 26803576.CS1 maint: Multiple names: authors list (link)

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