Kidney Infection
The medical names for a kidney infection are pyelonephritis and
glomerulonephritis.
Although the actual infection is located in the kidney, it often starts lower in
the urinary tract--namely the bladder. Germs from the bladder migrate upward the
ureters multiply when they reach the kidney. This usually happens in someone who has low resistance for
some reason.
An acute kidney infection begins with severe symptoms, but then ends
quickly once it has run it's course.
However, a chronic kidney infection takes a while to develop, and
gets worse as time passes. Kidney failure can ultimately result.
Glomerulonephritis
Acute glomerulonephritis involvesg an inflammation of the renal glomeruli of
the kidneys. It appears to be an antigen-antibody reaction, and it results in damage in the
glomerular capillaries of the kidney.
Acute glomerulonephritis typically occurs after a streptococcal
infection of the respiratory tract. Sometimes a skin infection such as impetigo may precede it. A strep
infection is the most common cause.
Chronic glomerulonephritis, on the other hand, progresses
slowly. Charisterically, there's an inflammation of the glomeruli which causes sclerosis, scarring
and finally, kidney failure. This type of kidney infection is particularly insidious
because it develops over a long period of time in which no symptoms are present.
A wide variety of infections can trigger glomerulonephritis, including
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pneumonia,
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hepatitis
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measles
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malaria, and
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syphilis.
Sometimes, systemic problems or structural abnormalities in the kidney will
trigger chronic glomerulonephritis.
When glomerulonephritis continues for more than a year, it's generally
considered to be chronic. A person with this type of kidney infection may live a normal life for 20-30 years
without symptoms, but at some point the kidneys become damaged to the point where they won't function.
A kidney transplant or dialysis may then be necessary.
Pyelonephritis
Pyelonephritis is an inflammation of one or both kidneys that can come in
three forms: acute, relapsing or chronic. It can involve complications like hypertension and
ultimately, kidney failure.
Pyelonephritis usually progresses very slowly, and patients
sometimes don't notice symptoms or experience kidney dysfunction for more than 20 years after
onset.
Most cases of pyelonephritis are the result of some kind of bacterial bacterial
infection, often from one of many organisms that cause lower urinary tract infections. Certain
conditions increase the likelihood of such an infection: urinary tract infections, tumors,
stagnant urine due to backflow from the bladder, abnormal prostate growth, diabetes mellitus,
kidney stones, trauma, scars from previous infections, or even pregnancy.
Symptoms
Symptoms some kidney infections are often hard to diagnose, but
signs of pyelonephritis are often acute.
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back ache
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fever or chills,
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nausea,
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cloudy, foul smelling urine,
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unsuual, unexplained weakness and fatigue.
Treatment
The best treatment for glomerulonephritis involves rest and antibiotics.
Treatment usually goes one for one to two weeks after tests of blood, blood pressure, and the
urine reveal that the kidneys have returned to normal. The patient's sodium and protein may be
restricted during this time.
In the case of pyelonephritis, the most important steps involve eliminating
the bacteria that's causing the infection, and unblocking any obstructions.
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