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Analysis of patients with acute pyelonephritis who required emergent hospitalization Soichiro Yoshida 1 , Kazuaki Nakagomi 1 , Shuichi Goto 1 1Department of Urology,Hamamatsu Medical Center Keyword: 腎盂腎炎 , 尿路結石 pp.423-426
Published Date 2004/5/20
DOI https://doi.org/10.11477/mf.1413100547
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We treated 98 patients with acute pyelonephritis in a period of 6 years between 1998 and 2003. 13 patients out of 15 with acute uncomplicated pyelonephritis responded well to penicillins or 2nd-generation cephalosporins. Of the 83 patients with complicated pyelonephritis,57(69%)responded well to 2nd generation cephalosporins. There was a significant difference in serum CRP level between the patients who responded to penicillin or 2nd generation cephalosporins and those who needed hospitalization with administration of 3rd/4th generation cephalosporins(p<0.05). We experienced 23 acute pyelonephritis patients with urolithiasis,and 5 developed septic shock. WBC and CRP levels were significantly higher in septic shock patients(p<0.05),who subsequently required treatments to release the obstruction.(Rinsho Hinyokika 58:423-426,2004)


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電子版ISSN 1882-1332 印刷版ISSN 0385-2393 医学書院

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