Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]

Acute pyelonephritis is a common renal manifestation in patients with diabetes. A 52-year-old diabetic lady presented with loin pain, dysuria, and fever and urinary incontinence that had begun seven and three days prior to presentation respectively. She was treated with escalating spectra of intrave...
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Autor*in:	Sivaranjini Venketesan [verfasserIn] Dheeraj Jain [verfasserIn] Stalin Viswanathan [verfasserIn] Murugesan Sivagurunathan Gayathri [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Übergeordnetes Werk:	In: F1000Research - F1000 Research Ltd, 2013, 8(2019)
Übergeordnetes Werk:	volume:8 ; year:2019

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.12688/f1000research.18129.2

Katalog-ID:	DOAJ028799224

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author	Sivaranjini Venketesan
spellingShingle	Sivaranjini Venketesan misc Medicine misc R misc Science misc Q Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
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topic_title	Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
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title	Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
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title_full	Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
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author_browse	Sivaranjini Venketesan Dheeraj Jain Stalin Viswanathan Murugesan Sivagurunathan Gayathri
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title_sort	case report: acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
title_auth	Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
abstract	Acute pyelonephritis is a common renal manifestation in patients with diabetes. A 52-year-old diabetic lady presented with loin pain, dysuria, and fever and urinary incontinence that had begun seven and three days prior to presentation respectively. She was treated with escalating spectra of intravenous antibiotics without improvement. Urine and blood cultures were sterile, while radiological investigations were suggestive of pyelonephritis. Mild hepatic dysfunction prompted consideration of scrub typhus and she improved with empirical doxycycline. Scrub IgM was later confirmed to be positive. In conclusion, local prevalence of systemic infections such as rickettsioses should always be considered in diabetics with fever, even if symptoms and signs otherwise suggest typical diabetes-related infections. We, therefore report a case of acute pyelonephritis caused by scrub typhus which has not been previously described in English medical literature.
abstractGer	Acute pyelonephritis is a common renal manifestation in patients with diabetes. A 52-year-old diabetic lady presented with loin pain, dysuria, and fever and urinary incontinence that had begun seven and three days prior to presentation respectively. She was treated with escalating spectra of intravenous antibiotics without improvement. Urine and blood cultures were sterile, while radiological investigations were suggestive of pyelonephritis. Mild hepatic dysfunction prompted consideration of scrub typhus and she improved with empirical doxycycline. Scrub IgM was later confirmed to be positive. In conclusion, local prevalence of systemic infections such as rickettsioses should always be considered in diabetics with fever, even if symptoms and signs otherwise suggest typical diabetes-related infections. We, therefore report a case of acute pyelonephritis caused by scrub typhus which has not been previously described in English medical literature.
abstract_unstemmed	Acute pyelonephritis is a common renal manifestation in patients with diabetes. A 52-year-old diabetic lady presented with loin pain, dysuria, and fever and urinary incontinence that had begun seven and three days prior to presentation respectively. She was treated with escalating spectra of intravenous antibiotics without improvement. Urine and blood cultures were sterile, while radiological investigations were suggestive of pyelonephritis. Mild hepatic dysfunction prompted consideration of scrub typhus and she improved with empirical doxycycline. Scrub IgM was later confirmed to be positive. In conclusion, local prevalence of systemic infections such as rickettsioses should always be considered in diabetics with fever, even if symptoms and signs otherwise suggest typical diabetes-related infections. We, therefore report a case of acute pyelonephritis caused by scrub typhus which has not been previously described in English medical literature.
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title_short	Case Report: Acute pyelonephritis and hearing loss in scrub typhus [version 2; peer review: 2 approved]
url	https://doi.org/10.12688/f1000research.18129.2 https://doaj.org/article/bab956aa3e72476a99e1ca495127c5cc https://f1000research.com/articles/8-312/v2 https://doaj.org/toc/2046-1402
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