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Acute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentation

2020-03-11Journal article Open access
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dc.contributor.authorNascimento, Rafael Ferreira
dc.contributor.authorMorna, Carolina
dc.contributor.authorBilreiro, Mariana
dc.contributor.authorCorreia, Ines
dc.date.accessioned2021-03-09T10:47:30Z
dc.date.available2021-03-09T10:47:30Z
dc.date.issued2020-03-11
dc.description.abstractWe describe a rare presentation of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A 68-year-old female presented to the emergency department with a 3 day history of cystitis. General examination revealed the acute onset of pain in the left flank accompanied by fever and chills. Blood tests revealed leucocytosis 25,400×109/L and C-reactive protein 495 mg/L (<6.1), while urinary sediment analysis revealed many leucocytes and gram-negative bacteria. The patient was admitted with acute piyelonephritis. On the third day of admission, the urine culture isolated Escherichia coli sensitive to the antibiotic prescribed; however, the patient clinically deteriorated. A computed tomography scan revealed a ruptured abdominal aortic aneurysm involving the left renal artery. The patient underwent an exploratory laparotomy but uncontrollable haemorrhage led to a fatal outcome. This case highlights a rare case of acute pyelonephritis associated with a ruptured abdominal aortic aneurysm. A computed tomography scan or abdominal ultrasound should be considered whenever a patient has acute pyelonephritis with a C-reactive protein >400 mg/L in order to exclude complications and other potentially fatal pathologies.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira Nascimento R, Morna C, Bilreiro M, Correia I. Acute pyelonephritis associated with ruptured abdominal aortic aneurysm:pt_PT
dc.identifier.doi10.12890/2020_001510pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/35856
dc.language.isoengpt_PT
dc.publisherElsevierpt_PT
dc.relation.publisherversionFerreira Nascimento R, Morna C, Bilreiro M, Correia I. Acute pyelonephritis associated with ruptured abdominal aortic aneurysm:pt_PT
dc.subjectacute pielonefritispt_PT
dc.subjectruptured abdominal aorticpt_PT
dc.subjectEscherichia colipt_PT
dc.subjectMadeira Islandpt_PT
dc.subjectPortugalpt_PT
dc.subjectRegião Autónoma da Madeirapt_PT
dc.titleAcute Pyelonephritis Associated with Ruptured Abdominal Aortic Aneurysm: An Unusual Presentationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue4pt_PT
oaire.citation.startPage001510pt_PT
oaire.citation.titleEJCRIM - European journal of case reports in internal medicinept_PT
oaire.citation.volume7pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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