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BRIEF COMMUNICATION
Year : 2013  |  Volume : 17  |  Issue : 3  |  Page : 442-445

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


Department of Endocrinology, Hedi Chaker Hospital, 3029 Sfax, Tunisia

Correspondence Address:
Mahdi Kamoun
Department of Endocrinology, Hedi Chaker Hospital, Magida Boulila Avenue, 3029 Sfax
Tunisia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2230-8210.111637

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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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