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Acute Pyelonephritis
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Ki Hak Song, Ji Young Lee, Young Ho Kim
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Korean J Urogenit Tract Infect Inflamm 2010;5(2):143-150. Published online October 31, 2010
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Abstract
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- Acute pyelonephritis is a very common upper urinary tract infection, and most of them may be uncomplicated and resolve without serious sequelae. Acute pyelonephritis is defined as clinical symptoms and signs such as abrupt onset of chills, fever, and flank or costovertebral angle pain and/or tenderness. The incidence of acute pyelonephritis is higher in young women than in men and then the incidence is similar to women over 65 years old. In general, acute pyelonephritis is caused by microorganisms ascending from the bladder into the upper urinary tract. E. coli is the most common uropathogen causing pyelonephritis, accounting for 70∼90% of infections. Recently, antibiotic resistance against E. coli and uropathogen is remarkably noted in uncomplicated acute pyelonephritis as well as uncomplicated UTI. The purpose of this study was to determine the recent trends of acute pyelonephritis, to suggest change to current strategies in the management and prevention of acute pyelonephritis, and to review 2010 EAU guideline and recent literatures.
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Infected Urachal Cyst
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Kang Sup Kim, Chang Sik Youn, Seung Woo Yang, Young Ho Kim, Eugene Hwang, Jae Sung Lim, Ki Hak Song, Chong Koo Sul
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Korean J Urogenit Tract Infect Inflamm 2009;4(2):232-234. Published online October 31, 2009
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Abstract
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- Although most cases of urachal cyst are asymptomatic, they are frequently detected after complication by infection. We report a 43-year-old woman who was diagnosed preoperatively an infected urachal cyst and was performed primary excision. A pus culture drained from the cyst was no growth in microscopic exam. Pathologic examination showed acute and chronic inflammation of the urachal cyst. The post-operative course was non specific and there was no evidence of wound infection.
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