title: Acute pyelonephritis and renal vein thrombosis: A case report and review of the literature.
abstract: A 68-year-old female presented with a week history of fever and generalized weakness. Clinical examination, blood work and urinalysis were compatible with sepsis due to acute pyelonephritis. Urine cultures were positive for Escherichia coli and blood cultures were negative. After 5 days of antibiotic therapy with cefuroxime, inflammatory parameters (CRP level and white blood cell count) remained highly elevated. Abdominal CT scan showed right kidney pyelonephritis with renal and perirenal abscess and right renal vein thrombosis. The patient improved after percutaneous drainage of the perirenal abscess and anticoagulation treatment. She was discharged on hospital day 14.
authors.affiliation: Department of Internal Medicine, Saint Luc University Hospital, 1200 Brussels, Belgium. Electronic address: h_tur.bel@hotmail.com.
authors.forename: Halil
authors.initials: H
authors.lastname: Yildiz
authors.affiliation: Department of Radiology, Saint Luc University Hospital, 1200 Brussels, Belgium.
authors.forename: Sandy
authors.initials: S
authors.lastname: Van Nieuwenhove
authors.affiliation: Department of Internal Medicine, Saint Luc University Hospital, 1200 Brussels, Belgium.
authors.forename: Marie
authors.initials: M
authors.lastname: Doyen
authors.affiliation: Department of Internal Medicine, Saint Luc University Hospital, 1200 Brussels, Belgium.
authors.forename: J C
authors.initials: JC
authors.lastname: Yombi
mesh_terms: D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000628:therapy*; D011704:Pyelonephritis / Q000628:therapy*; D013927:Thrombosis / Q000188:drug therapy*
chemical_list: D000925:Anticoagulants
keywords: Anticoagulation; Pyelonephritis; Renal vein thrombosis