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KMID : 0363320200410061172
Journal of Korean Oriental Internal Medicine
2020 Volume.41 No. 6 p.1172 ~ p.1179
A Case Report of Recurrent Pyelonephritis in a Patient with a Bilateral Bifid Ureter Treated with Korean-Western Cooperative Treatment
Noh Ji-Won

Jeong Soo-Min
Lee Min-Seong
Jeon Min-Su
Ahn Young-Min
Ahn Se-Young
Lee Byung-Cheol
Abstract
Introduction: In this case report, we addressed the effects of a Korean medicine treatment on recurrent pyelonephritis in a female patient with a duplicated collecting system.

Case report: A 22-year-old female with acute pyelonephritis was treated with Korean medicine, including herbal medication, Insampaedok-san plus Oryeong-san, and with antibiotic therapy. We evaluated the improvements in her symptoms by measuring C-reactive protein, WBC count, body temperature, and a numeric rating scale for nausea. The symptoms of fever and nausea improved after two days of hospitalization. From the 4th day of taking the herbal medicine, the antibiotic IV infusion was changed to oral agents.

Conclusions: This clinical case study suggests that modified Insampaedok-san might have shortened the duration of intravenous antibiotic infusion and hospitalization for recurrent pyelonephritis in a female patient with a bifid ureter.
KEYWORD
Insampaedok-san, Oryeong-san, bifid ureter, acute pyelonephritis, traditional Korean medicine
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