• Am J Emerg Med · May 2017

    Case Reports

    Pyelonephritis following phenazopyridine use.

    • Sean Patrick Nordt.
    • Department of Emergency Medicine Keck School of Medicine, University of Southern California, 1975 Zonal Avenue, KAM 100F, Los Angeles, CA 90033, United States. Electronic address: spnordt@hotmail.com.
    • Am J Emerg Med. 2017 May 1; 35 (5): 805.e3-805.e4.

    AbstractWe present a case of pyelonephritis following the extended andsolitary use of over-the-counter phenazopyridine in a forty-year-oldfemale. The patient initially had uncomplicated cystitis signs andsymptoms which partially resolved with phenazopyridine and therefore she continued use. She presented to the emergency department with systemicsigns and symptoms of acute pyelonephritis. As phenazopyridine is devoidof antibacterial properties this allowed the lower urinary tractinfection to progress to acute pyelonephritis requiring intravenousantibiotics. Better patient education may preclude this complication.Copyright © 2016 Elsevier Inc. All rights reserved.

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