title: Calculous pyelonephritis.
abstract: The authors report on 48 patients with calculous pyelonephritis. Urinary obstruction was caused by renal calculi in 21 patients and ureteral calculi in 27. Urine cultures were positive in 87.5% and bacteremia was seen in 70%. The common organisms in urine and blood culture were E. coli, Proteus and Klebsiella. Septic shock occurred in 10 (20.8%) out of 48 patients. Calculous pyelonephritis with urinary obstruction is a very serious condition.
authors.affiliation: Department of Urology, Okinawa Chubu Hospital, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Koga
authors.forename: Y
authors.initials: Y
authors.lastname: Arakaki
authors.forename: M
authors.initials: M
authors.lastname: Matsuoka
authors.forename: C
authors.initials: C
authors.lastname: Ohyama
mesh_terms: D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications* / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000453:epidemiology / Q000209:etiology* / Q000382:microbiology; D014514:Ureteral Calculi / Q000150:complications* / Q000453:epidemiology