title: A clinical study of bilateral non-obstructive acute pyelonephritis with acute kidney injury in patients of type 2 diabetes mellitus.
abstract: The aim of our study was to study the clinical profile of type 2 diabetes mellitus patients admitted with the diagnosis of acute kidney injury (AKI) due to bilateral acute non-obstructive pyelonephritis. The bilateral involvement was identified on various imaging modalities (ultrasound, computed tomography, nuclear scintigrapy). All the patients had AKI. Those with severe AKI underwent hemodialysis. The factors associated with the severity of illness were identified. Twenty-five patients of type 2 diabetes mellitus admitted with the diagnosis of AKI due to bilateral acute non-obstructive pyelonephritis were identified. On ultrasound, bilateral involvement was found in 12 patients and in 17 patients on computed tomography and eight patients on nuclear scintigraphy. Fourteen of them needed dialysis support. Bilateral acute pyelonephritis needs to be considered while evaluating the AKI in type 2 diabetes mellitus patients.
authors.affiliation: Department of Nephrology, Srivenkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, India.
authors.forename: Manjusha
authors.initials: M
authors.lastname: Yadla
authors.forename: Sriramnaveen
authors.initials: S
authors.lastname: Parvithina
authors.forename: Krishna Kishore
authors.initials: KK
authors.lastname: Chennu
authors.forename: Sandeep
authors.initials: S
authors.lastname: Reddy
authors.forename: A V S S N
authors.initials: AV
authors.lastname: Sridhar
authors.forename: B
authors.initials: B
authors.lastname: Vijayalakshmi
authors.forename: A Y
authors.initials: AY
authors.lastname: Lakshmi
authors.forename: Tek Chand
authors.initials: TC
authors.lastname: Kalawat
authors.forename: V
authors.initials: V
authors.lastname: Sivakumar
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000368:Aged; D003928:Diabetic Nephropathies / Q000150:complications* / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D006435:Renal Dialysis; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography