Question

Differentiate between flank muscle pain and kidney infection

Answer 1

Kidney pain and back pain can be difficult to distinguish, but kidney pain is usually deeper and higher in the and back located under the ribs while the muscle pain with common back injury tends to be lower in the back. Causes of kidney pain are mainly urinary tract infections and kidney stones.

The most common causes of pyelonephritis are representatives of the Entembacteriaceae family (Gram-negative rods), of which Escherichia coli accounts for about 80% (in acute uncomplicated flow), less often as a causative agent are Proteus spp., Klebsiella spp., Enterobacter spp., Citrobacter spp. With complicated pyelonephritis, the frequency of Escherichia coli release sharply decreases, the value of Proteus spp., Pseudomonas spp., Other gram-negative bacteria, and Gram-positive cocci increases: Staphylococcus saprophytics, Staphylococcus epidermidis, Enterococcus faecalis; mushrooms. Approximately 20% of patients (especially those who are in the hospital and with the urinary catheter installed) have microbial associations of two or three kinds of bacteria, often a combination of Escherichia coli and Enterococcus faecalis. For the development of the inflammatory process, factors such as:

type of pathogen;

virulence;

presence of pili;

ability to adhesion;