Diagnóstico y tratamiento en una paciente con pielonefritis aguda bacteriana

Abstract

Pyelonephritis is an inflammatory pathology associated with damage to one or both kidneys. Its etiology is of infectious origin, mainly related to bacteria; its clinical picture is characterized by pain in the lumbar or epigastric region, headache, fever, chills, abdominal pain, vomiting, nausea, diarrhea. The objective of the research was to establish the diagnosis and treatment in a patient with acute bacterial pyelonephritis through a bibliographic review study applying an analytical-descriptive methodology that allowed the resolution of the clinical case studied. After the results of the urine culture plus biochemical tests performed (blood count and urinalysis), the final diagnosis was confirmed as acute bacterial pyelonephritis. The pharmacological proposal for the patient with uncomplicated pyelonephritis is a treatment with any of the following drugs: Amoxicillin, cefuroxime, nitrofurantoin and fosfomycin. If the patient does not tolerate oral administration, it is advisable to apply antibiotics such as ceftriaxone (IV) and gentamicin (I.M), however, against resistance of E. coli, quinolones such as ciprofloxacin and norfloxacin can be used.