Community acquired quinolone-resistant Escherichia coli pyelonephritis complicated with multiple renal abscesses: a case report.
Acute pyelonephritis is a potentially organ-damaging and life-threatening infection. A 37-year old woman was admitted to Intensive Care Unit in septic shock and multi-organ failure due to acute pyelonephritis with systemic bacterial dissemination caused by a quinolone-resistant Escherichia coli. The patient, a previously healthy woman, reported recurrent episodes of urinary tract infection in the previous 3 years, which were treated with quinolones. Treatment course with broad-spectrum antimicrobial agents reversed her septic shock and multi-organ failure. However, pyelonephritis progressed to intrarenal and perirenal abscesses formation. The patient fully recovered after surgical removal of the infected kidney.
Intensive Care Unit, Konstantopouleio General Hospital, Athens, Greece.
M
M
Katsiari
C
C
Nikolaou
Z
Z
Roussou
C
C
Triantopoulou
D
D
Apessou
Ed
E
Platsouka
A
A
Maguina
acute pyelonephritis; nephrectomy; quinolone-resistant Escherichia coli; renal abscesses; septic shock