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Revista mexicana de urología
versión On-line ISSN 2007-4085versión impresa ISSN 0185-4542
Resumen
MONTOYA-CHINCHILLA, R. et al. Encrusted pyelitis management: Importance of treatment. A case report. Rev. mex. urol. [online]. 2017, vol.77, n.2, pp.138-142. Epub 04-Jun-2021. ISSN 2007-4085.
BACKGROUND:
encrusted pyelitis is an infectious disease that is difficult to diagnose, as well as to treat. it is characterized by urothelial incrustations in the wall of the urinary tract.
CLINICAL CASE:
a 75-year-old man presented with a moderate case of bilateral obstructive uropathy secondary to incrusted pyelitis and ureteral stones. after several months of triple therapy with oral antibiotic and oral and intrarenal acidifiers, the patient died due to urinary sepsis arising from intense immunologic deterioration caused by his underlying disease, albeit with a clear reduction of stone burden.
DISCUSSION:
encrusted pyelitis treatment is complex and long duration. the prescription of different drug combinations can significantly reduce the stone burden in these patients.
Palabras llave : kidney stones; ureteral stones; pyelitis; urinary tract infections; Corynebacterium urealyticum.
