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Bilateral psoas and bilateral perinephric abscesses complicating acute pyelonephritis in pregnancy

Year: 2013

Type: article

Abstract: Acute pyelonephritis complicates 1-2% of pregnancies and causes significant maternal and fetal morbidity and mortality. The diagnosis of renal tuberculosis (TB) is often delayed and commonly presents with sterile pyuria or along with other pyogenic organisms. We report a case where the diagnosis of renal TB was missed in a pregnant woman when she presented with acute pyelonephritis, septic shock, and acute renal failure. There was clinical recovery with antibiotics, but bilateral psoas and perinephric abscesses (TB, Enterococcus sp., and E. coli) were diagnosed when she presented with loin pain and palpable left renal angle swelling. Bilateral psoas abscess due to TB in the absence of skeletal TB and human immunodeficiency virus infection is rare. The presentation of renal TB in pregnancy, its complications, and its management are discussed.

Source: Indian Journal of Nephrology

DOI: 10.4103/0971-4065.107213

Authors: I Veerappan, A Shanmugam, S Kumar, P Velayutham

Institutions: Pondicherry Institute of Medical Sciences, Mahatma Gandhi Medical College and Research Institute

Language: English

Topic: Diagnosis and treatment of tuberculosis

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W2002256216

FWCI: 0.454

Cites: 19

Cited by: 9

Related to: 10