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KMID : 0359920090280010063
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Korean Journal of Nephrology
2009 Volume.28 No. 1 p.63 ~ p.66
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A Case of Acute Pyelonephritis Complicated with Renal Vein Thrombosis
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Lee Hwa-Jeong
Jung Mi-Hyang
Jeong Hee-Kyoung
Kim Jin-Jin
Mo Eun-Yeong
Kim Yong-Kyun
Song Ho-Cheol
Choi Euy-Jin
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Abstract
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Acute pyelonephritis is a common disease in clinical practice. Renal vein thrombosis in acute pyelonephritis has become a rare complication at present because of the advances of antibiotics. The trend in management has shifted to non-surgical therapies, particularly systemic anticoagulation, except in highly selected group of patients. Here we report the case of a 67-year-old woman who got hospitalized for fever and chilling. Acute pyelonephritis was diagnosed by clinical manifestation and positive urine and blood cultures. Computed tomography demonstrated left pyelonephritis and ipsilateral renal vein thrombosis. She was fully recovered after treatment with antibiotics, low molecular weight heparin and warfarin for 8 weeks.
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KEYWORD
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Pyelonephritis, Renal vein, Thrombosis
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