Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
A 31‐year‐old female teacher presented to the emergency department with altered sensorium, hematuria, fever, abdominal pain, distension and acute breathlessness. She had a history of idiopathic intracranial hypertension (IIH) diagnosed two months earlier, treated with acetazolamide and recurrent abdominal pain managed with over‐the‐counter and alternative medications. On arrival, she showed signs of septic shock and respiratory dis‐tress. Initial work up revealed severe metabolic acidosis, anemia, leukocytosis and acute kidney injury requiring hemodialysis. Imaging identified a staghorn calculus in the left kidney and a perinephric abscess in the right kid‐ney. Initial measures were performed with intravenous fluids, inotropic support, mechanical ventilation and empirical antibiotics. The patient's condition improved dramatically after perinephric abscess drainage. Persis‐tent symptoms prompted further imaging, revealing fistula formation and compromised renal function. Urosur‐gery consultation led to partial nephrectomy. Cultures confirmed Escherichia coli as the causative agent. This case emphasizes the potential complications of untreated urinary tract infections and the importance of timely diagnostic imaging in preventing severe outcomes like nephrectomy. Additionally, it highlights the potential ex‐acerbating role of steroid‐containing medications (commonly used in the form of alternative medicines)in both IIH and sepsis.
How to cite this article:
Ishani D. Kudtarkar, Akshay Kulkarni, Pankaj B. Palange and Sanjay Purohit. Staghorn calculus, perinephric abscess, idiopathic intracranial hypertension, UTI, corticosteroids.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.533.535
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.533.535