Septic shock patient and ultrasound in the emergency room

Purpose: Pyonephrosis (PN) is an uncommon disease that is associated with suppurative destruction of the renal parenchyma in adults. Obstruction and upper urinary tract infection play a role in its etiology. Fever, shivering, and flank pain are frequent clinical symptoms. Septic shock and death can occur if the disorder is not treated with urgent surgery. In this context percutaneous open nephrostomy or retrograde ureteral catheter insertion is appropriate, so it is a very serious disease and emergency physicians (EP) have a very important role in early diagnosis to start antibiotic treatment and early referral…