CLINICAL SPECTRUM OF PYELONEPHRITIS: PROGNOSTIC FACTORS AND LONG-TERM OUTCOMES REVEALED: A CASE SERIES Authors: Yanamadala PK , SANA P, GIDLA HR, VENI BALLA SK AND RAMOJU LDL
ABSTRACT
Pyelonephritis is a severe bacterial infection of kidney parenchyma, often leading to kidney scarring, and
is potentially life-threatening. Objective: The study was aimed at assessing the clinical profile, prognostic
factors, and the 6-month outcome of patients with pyelonephritis. Methodology: This observational study
involved qualitative and quantitative approaches to analyze various factors. The qualitative section includes
those related to the antibiotics prescribed, symptoms, risk factors, and other demographic details, among
which the latter two were approached quantitatively. Results: Ten patients who were randomly selected
were involved in the study. The mean Age of the study group was 52.0 ± 8.628 years. Out of 10 subjects,
50% were males and 50% were females. Most of the subjects with Pyelonephritis suffered from symptoms
like Pain (90%), pyrexia (80%), and Dysuria (70%). In our study, we had 20% subjects with Shock, 70%
with Sepsis, and 20% with Disseminated Intravascular Coagulation. 10/10 cases had Type II Diabetes
Mellitus. Four cases had unilateral involvement and six had bilateral involvement. Candida was the most
common organism cultured (30%) followed by E. coli (20%). Eight cases Underwent DJ stent and one case
had percutaneous nephrostomy. One subject with Advanced Disease expired. Antibiotics are irreplaceable
drugs in the management of Pyelonephritis. All the patients were treated with IV Antibiotics and 8 Out of
10 subjects underwent surgical interventions. Conclusion: The disease should be suspected andinvestigated in both males and sick females with diabetes, with early recognition and appropriate
management through medical and surgical therapies being crucial.
Keywords: Pyelonephritis, Chronic Kidney Disease, IV Antibiotics, Uncontrolled Diabetes Mellitus,
Unilateral and Bilateral involvement, E. coli and Candida species Publication date: 01/02/2026 https://ijbpas.com/pdf/2026/February/MS_IJBPAS_2026_9836.pdfDownload PDFhttps://doi.org/10.31032/IJBPAS/2026/15.2.9836