Acute pyelonephritis
Chapter 14:Diseases of the genitourinary system
ICD-10 N10 is a billable code used to indicate a diagnosis of acute pyelonephritis.
Acute pyelonephritis is a sudden and severe kidney infection that primarily affects the renal pelvis and interstitium. It is often caused by ascending urinary tract infections (UTIs) where bacteria from the bladder travel up to the kidneys. Common pathogens include Escherichia coli and other gram-negative bacteria. Symptoms typically include fever, chills, flank pain, dysuria, and increased urinary frequency. Diagnosis is usually confirmed through urinalysis, urine culture, and imaging studies such as ultrasound or CT scan to assess for complications like hydronephrosis. Acute pyelonephritis can lead to serious complications if untreated, including renal abscesses or sepsis. Management typically involves prompt antibiotic therapy tailored to the identified pathogen, along with supportive care. In cases where obstruction is present, such as hydronephrosis, surgical intervention may be necessary. The condition can also be exacerbated by factors such as diabetes, pregnancy, or urinary tract anomalies.
Detailed history of urinary symptoms, imaging results, and treatment plans.
Management of recurrent UTIs leading to pyelonephritis, post-surgical infections.
Need for clear documentation of any anatomical abnormalities or previous interventions.
Comprehensive review of patient history, culture results, and antibiotic susceptibility.
Treatment of complicated pyelonephritis in immunocompromised patients.
Focus on identifying resistant organisms and tailoring antibiotic therapy.
Used for inpatient management of acute pyelonephritis.
Comprehensive history, examination, and medical decision-making.
Urology and Infectious Disease specialists should ensure detailed documentation of the patient's condition.
Common symptoms include fever, chills, flank pain, dysuria, and increased urinary frequency. Patients may also experience nausea and vomiting.
