A Case of Acute Pyelonephritis Complicated with Renal Vein Thrombosis

Korean Journal of Nephrology 2009;28(1):63-66.

Hwa Jeong Lee, M.D., Mi Hyang Jung, M.D., Hee Kyoung Jeong, M.D., Jin Jin Kim, M.D., Eun Yeong Mo, M.D., Yong Kyun Kim, M.D. Ho Cheol Song, M.D. and Euy Jin Choi, M.D.

Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea

증례 : 급성 신우신염에 합병된 신정맥 혈전증 1예

이화정, 정미향, 정희경, 김진진, 모은영, 김용균, 송호철, 최의진

가톨릭대학교 의과대학 내과학교실

Abstract

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.

Key Words: Pyelonephritis, Renal vein, Thrombosis