Pyelonephritis in pregnancy

Question 1

General findings

Answer 1

The risk of pyelonephritis is increased during pregnancy.

As many as one-third of pregnant women with asymptomatic bacteriuria will progress to develop pyelonephritis (if left untreated).

One of the most common complications of pregnancy, with potentially severe consequences for both mother and fetus (Pyelonephritis in pregnancy is associated with preterm birth and low birth weight infants.

Question 2

Diagnosis

Answer 2

The imaging modality of choice in pregnancy is MRI

Question 3

Treatment

Answer 3

Hospitalization with parenteral broad-spectrum antibiotics is recommended.
A third-generation cephalosporin!🧨

Avoid fluoroquinolones, trimethoprim/sulfamethoxazole, and aminoglycosides in pregnant women!👓