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A prospective study of bacteriuria and pyuria in catheter specimens from hospitalized children, Durban, South Africa.

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In a prospective study of 180 children admitted consecutively to King Edward VIII Hospital, bacteriuria (BU) was detected in 47 (26%), associated with pyuria in 35. BU occurred in association with other common childhood diseases in all but one child: acute lower respiratory tract infection (LRTI) in

Appendicitis complicating pregnancy.

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In this series, nine pregnant patients had appendectomy. Seven patients had acute appendicitis; pyuria and symptoms suggesting urinary tract infection delayed diagnosis in one whose appendix perforated. Abdominal pain and nausea with or without vomiting were presenting symptoms in all of the

Type B aortic dissection with early presentation mimicking acute pyelonephritis.

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Aortic dissection is a life-threatening illness requiring early diagnosis and treatment. Uncommon early presentations mimicking various illnesses can delay diagnosis. This case study describes a 44-year-old woman with type B aortic dissection initially presenting as acute pyelonephritis (APN). Early

Diagnosis of an Acute Lobar Nephronia in the Emergency Department Using POINT-OF-CARE Ultrasound.

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Over the past decade, point-of-care ultrasound (POCUS) has been performed increasingly in pediatric emergency medicine for a variety of indications. POCUS is a focused, limited, goal-directed examination at the bedside performed and interpreted by a physician trained in POCUS with the

Emphysematous pyelonephritis successfully treated by early intervention using a renoureteral catheter.

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A 49-year-old woman with poorly controlled type 2 diabetes mellitus was admitted to hospital complaining of fever, vomiting, and lower abdominal pain. Laboratory investigation revealed leukocytopenia, high blood sugar, and pyuria. Pyelonephritis was then diagnosed. Escherichia coli was isolated from

Appendicitis in the Infant Population: A Case Report and Review of a Four-Month Old With Appendicitis.

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BACKGROUND Appendicitis is uncommon in children <6 months old, with few observational studies reporting cases of children younger than 5 years old with the diagnosis. The classic periumbilical pain that migrates to the right lower quadrant, followed by the onset of fever and vomiting, is present in

Urinary tract infection in infants and children with diarrhoea.

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To determine when children with acute diarrhoea should be investigated for urinary tract infection (UTI), we studied 120 patients and 120 healthy age- and sex-matched controls aged 4 weeks to 5 years. In those with positive or suspicious urine cultures, bacteriuria or pyuria, urine culture was

Nonsurgical treatment of bilateral emphysematous pyelonephritis in a diabetic patient.

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Bilateral emphysematous pyelonephritis is a rare life-threatening condition affecting almost exclusively patients with diabetes mellitus. Symptoms, which include fever, chills, abdominal and flank pain, nausea, vomiting, dysuria and pyuria, usually mimic those of classic pyelonephritis, and thus

Acute tubulointerstitial nephritis in association with Yersinia pseudotuberculosis infection.

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A 4-year-old girl was diagnosed as having acute renal failure due to tubulointerstitial nephritis. The girl presented with remittent fever, vomiting and non-oliguric acute renal failure with sterile pyuria and tubular reabsorptive dysfunction. Ultrasound examination revealed that the kidneys were

[Extracorporeal shock wave lithotripsy in an 8-month-old infant].

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An 8-month-old boy who presented with pyrexia and vomiting was referred to the pediatric clinic of Kitasato University Hospital. He was found to have hematuria, proteinuria and pyuria. Abdominal X-ray film showed calcification suggesting renal staghorn calculus in the bilateral kidneys. At 10-months

Urinary tract infections in the geriatric patients.

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UNASSIGNED Urinary tract infections (UTI) are the second most common infection in geriatric population. This study investigated clinical findings, diagnostic approaches, complicating factors, prognosis, causative microorganisms and antimicrobial susceptibility in geriatric patients diagnosed with

The prevalence of bacteriuria among high risk neonates in Nigeria.

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Among the 446 high risk neonates studied for significant bacteriuria and pyuria in the neonatal wards of the Obafemi Awolowo University teaching hospital Complex, Ile-Ife, 7.6% and 5.8% were positive for significant bacteriuria and pyuria respectively, while none of the 81 infants in the control

Acute interstitial nephritis due to proton pump inhibitors.

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Proton pump inhibitors (PPI) are commonly prescribed for dyspepsia and acid peptic disease. Acute interstitial nephritis (AIN) is an uncommon though important side-effect of these classes of drugs. We describe four cases: three females and one male. PPIs implicated were pantoprazole in two,

The acute scrotum.

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Testicular torsion is characterized by the sudden onset of testicular pain associated with abdominal pain, nausea and vomiting. Fever is unusual and urinalysis is often normal. Fever, pyuria, dysuria and urethral discharge are characteristic of epididymitis. Radionuclide scanning and Doppler

Once daily isepamicin treatment in complicated urinary tract infections.

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Isepamicin is a new aminoglycoside, derived from gentamicin B, which is more stable than other aminoglycosides against inactivating enzymes, and is less nephrotoxic. We evaluated the efficacy and safety of a once daily isepamicin in the treatment of complicated urinary tract infections (UTIs), as

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