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Pielonefritis - Symptom

Nombres alternativos

Infección del riñón; Infección complicada de las vías urinarias; Infección renal; Infección urinaria complicada

Síntomas:

* En las personas de edad avanzada, los cambios mentales o la confusión pueden ser las únicas señales de una infección urinaria.

Signos y exámenes:

Un examen físico puede mostrar sensibilidad cuando el médico presiona ( palpa) el área del riñón.

  • Un hemocultivo puede mostrar una infección.
  • Un análisis de orina comúnmente revela glóbulos blancos o glóbulos rojos en la orina.
  • Otros exámenes urinarios pueden mostrar bacterias en la orina.

Una pielografía intravenosa (PIV) o una tomografía computarizada del abdomen pueden mostrar riñones inflamados. Estos exámenes también pueden ayudar a descartar trastornos subyacentes.

Los exámenes y procedimientos adicionales que se pueden hacer abarcan:

  • Reviewed last on: 9/18/2008
  • Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Norrby SR. Approach to the patient with urinary tract infection. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 306

Foster RT Sr. Uncomplicated urinary tract infections in women. Obstet Gynecol Clin North Am. 2008 Jun;35(2):235-48, viii.

Pohl A. Modes of administration of antibiotics for symptomatic severe urinary tract infections. Cochrane Database Syst Rev. 2007 Oct 17;(4):CD003237.

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