Indian Journal of Endocrinology and Metabolism (Jan 2013)

Complicated urinary tract infections associated with diabetes mellitus: Pathogenesis, diagnosis and management

  • Mouna Feki Mnif,
  • Mahdi Kamoun,
  • Faten Hadj Kacem,
  • Zainab Bouaziz,
  • Nadia Charfi,
  • Fatma Mnif,
  • Basma Ben Naceur,
  • Nabila Rekik,
  • Mohamed Abid

DOI
https://doi.org/10.4103/2230-8210.111637
Journal volume & issue
Vol. 17, no. 3
pp. 442 – 445

Abstract

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Diabetes mellitus has a number of long-term effects on the genitourinary system. These effects predispose to bacterial urinary tract infections (UTIs) in the patient with diabetes mellitus. Complicated UTIs are also common and potentially life-threatening conditions. They include emphysematous pyelonephritis, emphysematous pyelitis/cystitis, xanthogranulomatous pyelonephritis, renal/perirenal abscess, and renal papillary necrosis. Improved outcomes of these entities may be achieved by early diagnosis, knowledge of common predisposing factors, appropriate clinical and radiological assessment, and prompt management. Herein we review complicated UTIs associated with diabetes mellitus in terms of pathogenesis, clinical manifestations, radiological features, and current management options.

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