When is emergency surgery indicated for acute pyelonephritis (kidney infection)?

Updated: Jul 01, 2021
  • Author: Tibor Fulop, MD, PhD, FACP, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Emergency surgery may be indicated in a patient with fever or positive blood culture results persisting longer than 48 hours; in a patient whose condition deteriorates; or in a patient who appears toxic for longer than 72 hours. These patients may have an abscess, emphysematous pyelonephritis, or an obstructing calculus. The etiology may not be immediately evident, but an unexpected change in the clinical picture warrants immediate evaluation for potential surgical intervention.


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