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 CASE REPORT
Year : 2013  |  Volume : 23  |  Issue : 1  |  Page : 59-62

Bilateral psoas and bilateral perinephric abscesses complicating acute pyelonephritis in pregnancy


1 Department of Nephrology, Pondicherry Institute of Medical Sciences, Pudhucherry, India
2 Department of General Medicine, Mahatma Gandhi Medical College, and Research Institute, Pudhucherry, India
3 Department of Microbiology, Mahatma Gandhi Medical College, and Research Institute, Pudhucherry, India
4 Department of Radio-diagnosis, Mahatma Gandhi Medical College, and Research Institute, Pudhucherry, India

Correspondence Address:
I Veerappan
Department of Nephrology, Pondicherry Institute of Medical Sciences, Ganapathichettikulam, Village No.20, Kalapet, Pudhucherry - 605 014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-4065.107213

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Acute pyelonephritis complicates 1-2% of pregnancies and causes significant maternal and fetal morbidity and mortality. The diagnosis of renal tuberculosis (TB) is often delayed and commonly presents with sterile pyuria or along with other pyogenic organisms. We report a case where the diagnosis of renal TB was missed in a pregnant woman when she presented with acute pyelonephritis, septic shock, and acute renal failure. There was clinical recovery with antibiotics, but bilateral psoas and perinephric abscesses (TB, Enterococcus sp., and E. coli) were diagnosed when she presented with loin pain and palpable left renal angle swelling. Bilateral psoas abscess due to TB in the absence of skeletal TB and human immunodeficiency virus infection is rare. The presentation of renal TB in pregnancy, its complications, and its management are discussed.






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Indian Journal of Nephrology
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Online since 20th Sept '07