International Journal of Advanced Research in Medicine
2021, Vol. 3, Issue 2, Part F
Correlation of clinical and radiological parameters of acute pyelonephritis
Author(s): Dr. Bhavya R, Dr. K Vara Prasada Rao, Dr. Praveen Kumar Kola and Dr. Raghavendra Sadineni
Abstract:Aim and Objective: To assess the correlations between clinical and biochemical parameters with radiological severity of acute pyelonephritis.
Methodology: It was a descriptive analytical study. All patients admitted to Narayana Medical College and Hospital, Nellore, from March 2019 to December 2020 with a CT proven diagnosis of acute pyelonephritis. All the patients diagnosed to have APN based on clinical and/or radiological findings were included in this study. Diagnosis of APN was based on both clinical and radiological criteria. Clinical criteria include the presence of "classical" symptoms of APN.
Results: A sample size of 100 patients was considered for the study. But, in view of COVID pandemic, sample collection as limited to 62mong 62 patients with pyelonephritis, 30(48.4%) were males, and 32(51.6%) were females. Males were older when compared to females. The mean age of 62 patients with acute pyelonephritis was 55.47 ± 12.82 years. The total number of patients with diabetes mellitus were 19(30.65%). Patients with hypertension were 18(29.03%). 4(26.67%) patients in group 1, 9(28.13%) patients in group 2, and 5(33.33%) patients in group 3 were found to have hypertension. Classical triad of pyelonephritis was seen in 51 (82.3%) patients and was absent in 11 (17.7%) of patients. There was an association between inotrope use and severe CT grading by using the likelihood ratio test, which was statistically significant with a p-value of 0.015. Ultrasound was found to detect pyelonephritis in 18(29.03%) patients. In 44(70.97%) patients, ultrasound was found to be normal despite the presence of clinical features. HbA1C levels were similar among the three groups with a mean value of 6.48±0.65, 6.53±0.62, and 6.59±0.77 in group 1, group 2, and group 3 patients, respectively.
Conclusion: This study showed a good correlation between clinical and radiological severity in adult patients with APN. Duration of hospital stay, presence of hypotension, and leukocytosis were associated with severe pyelonephritis.
Dr. Bhavya R, Dr. K Vara Prasada Rao, Dr. Praveen Kumar Kola, Dr. Raghavendra Sadineni. Correlation of clinical and radiological parameters of acute pyelonephritis. Int J Adv Res Med 2021;3(2):360-366. DOI: 10.22271/27069567.2021.v3.i2f.269