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(Pyelonephritis)
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(Nephritis)
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MiaoTing-Jie
INFLAMMATION OFTHE
KIDNEY AND INFECTION
OF
THE KIDNEY
PELVIS
lnflammation
of the
kidney
(nephritis) and infection
of
the kidney
pelvis
(drainage
system
of
the
kidney)
are both
common
but are
quite
different.
The latter can
be
due
to
ascending infection (from the bladder
up the ureteric tube to
the
kidney
pelvis) or
secondary
to tonsil,
oral
cavity
or
skin infection, etc.
Clinical
presentation
is
blood
/
pus
in
the urine,
frequency,
fever
and
loin
pain.The urine
contains
pus cells
and
culture for bac-
teria
may be
required.
Apart lrom the
appropriate antibiotics,
f
requent
change
ol
underwear
and
regular cleaning of
the genitals (especially
in
females) are
required. Nephritis
may
be
a
reaction
to the antigen (sensitizing protein) from
the
haemolytic streptococci bacteria.
Acute nephritis presents with
fever,
malaise, loin pain, swelling, high blood
pressure;
chronic nephritis
presents
with low-grade fever, swelling,
high
blood pressure and urine sediments;
urinary microscopy finds casts
and
red
cells.
At times,
a
tissue sample
of
the
kidney may be required for confirma-
tion of diagnosis. Treatment
is
complex
and may be prolonged - consult your
doctor otherwise permanent
kidney
failure may result.
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