Abstract
The typical case of acute pyelonephritis with fever, flank pain and tenderness, dysuria and often concomitant pyuria, seldom presents difficulty in diagnosis. The atypical acute case, presenting only with fever, without pyuria or symptoms relating to the urinary tract, and the recurrent, chronic, or incompletely treated urinary tract infections are, on the other hand, frequent diagnostic problems. These silent insidious infections may ultimately produce permanent renal impairment, uremia, and death. The problem is one of early diagnosis of the unrecognized infections and of adequate therapy and follow-up once this diagnosis is made. The importance of pyuria as a diagnostic sign of urinary tract infection has been exaggerated in the past. Although its presence is of clinical significance, its absence in patients with bacteriuria is well documented. 1-4 The urine culture emerges as the only dependable method of determining the presence of urinary-tract infection, but the culture itself must include a
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
