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.
Written by:
Mnif MF, Kamoun M, Kacem FH, Bouaziz Z, Charfi N, Mnif F, Naceur BB, Rekik N, Abid M. Are you the author?
Department of Endocrinology, Hedi Chaker Hospital, 3029 Sfax, Tunisia.
Reference: Indian J Endocrinol Metab. 2013 May;17(3):442-5.
doi: 10.4103/2230-8210.111637
PubMed Abstract
PMID: 23869299
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