Perinephritis is one of the long-known infectious-inflammatory diseases of the kidney, developing as a result of inflammation of the perirenal tissue. Treatment of perinephritis in Israel is carried out according to a scheme depending on the form of the pathology and involves the use of the latest medications, as well as minimally invasive surgical operations. Timely completion of the prescribed therapeutic course eliminates clinical symptoms in approximately 93-95% of cases, improves prognosis, and contributes to the patient's recovery. Treatment is carried out by highly qualified doctors, many of whom are among the leading nephrologists in the world.
The chronic form of the disease, in which characteristic signs are absent or poorly expressed, often goes undetected for a long time. Modern high-precision diagnostic equipment in medical centers in Israel allows for the rapid identification of pathology, determination of structural and functional abnormalities of the kidneys and other internal organs, and assessment of the patient's overall condition. Reviews from patients who have undergone treatment confirm its effectiveness and reasonable cost, comfortable conditions, attentiveness, and friendliness of the medical staff.
Treatment Methods for the Disease
Studies have shown that the prevalence of perinephritis is no more than 0.2-0.3%. Typically, the pathology develops in patients against the background of such kidney diseases as purulent pyelonephritis, urolithiasis, or as a complication of surgical intervention on the kidneys.
The causes of the disease are related to infection by pathogenic bacteria: most often various types of staphylococci, less frequently — streptococci, tuberculosis mycobacteria, pneumococci, and other pathogens. Purulent inflammation of the kidneys and purulent processes in nearby and distant internal organs contribute to the damage of the perirenal tissue. In some cases, the cause of the pathology remains unclear.
Depending on the cause of the disease, primary and secondary forms of perinephritis are distinguished. In the development of the primary pathological process, the infectious agent penetrates from a distant focus of inflammation hematogenously. As mentioned, approximately 80% of cases develop secondary perinephritis, which is a complication of an existing kidney disease.
The acute form of perinephritis is characterized by a sharp increase in temperature to 39-40℃, severe pain developing in the first days of the disease, and a severe general condition. It is characteristic for the leg on the affected side to be flexed and pulled towards the abdomen. In the chronic form, the symptoms are blurred, the pain syndrome is weaker, and swelling and other symptoms are less pronounced.
As the disease progresses, the pus that is released enters the bloodstream and spreads throughout the body, forming pathological foci in other organs. One of the most serious complications of perinephritis is the rupture of the abscess and the spillage of pus into various cavities. Thus, if the contents enter the abdominal cavity, the patient develops peritonitis, which requires urgent surgical treatment. Equally dangerous is the rupture of the abscess into the pleural cavity, resulting in pyothorax — the accumulation of pus in that area of the body.
In the case of diagnosing acute perinephritis, urgent hospitalization of the patient is indicated, while chronic forms of the pathology allow for outpatient treatment. Various conservative or surgical methods are included in the therapy scheme depending on the nature of the inflammation and the form of the disease.
- Acute infiltrative perinephritis — medication treatment is indicated using the following drugs:
- antibiotics — cephalosporins of the 2nd-3rd generation, macrolides, semi-synthetic penicillins, fluoroquinolones, aminoglycosides;
- sulfanilamide drugs;
- immunomodulators;
- vitamin and mineral complexes.
- Acute purulent perinephritis — surgical sanitation of the pathological focus is indicated. Most patients undergo drainage via puncture, but surgical opening of the abscess (lumbar puncture) is also possible. In severe cases, a nephrostomy is placed at the first stage for the drainage of purulent contents, after which removal of the affected kidney (nephrectomy) is performed. After the surgical intervention, antibiotic therapy is prescribed.
- Chronic perinephritis — both conservative and surgical methods are included in the treatment scheme. In the absence of a formed purulent focus, medication treatment (antibiotics, glucocorticosteroids, resorptive agents) and various physiotherapeutic methods are prescribed. Surgical intervention is indicated based on the same principles as in the case of acute perinephritis.
In any form of perinephritis, the success of therapy is significantly increased by including physiotherapeutic methods such as UHF, diathermy, paraffin applications, mud therapy, and therapeutic massage in the program. In the case of septic complications and pronounced intoxication syndrome, the patient is prescribed hemodialysis, hemosorption, and plasmapheresis.
Diagnostic Methods for the Disease
It is not always possible to make an accurate diagnosis in cases of chronic or acute infiltrative perinephritis, as patients often have poorly expressed symptoms. In diagnostic centers in Israel, the latest equipment allows for the examination of the patient in approximately three days, determining the cause of the pathology and developing a treatment program.
During the initial consultation with the leading nephrologist, which is conducted immediately after the patient is admitted to the clinic, the doctor talks with the patient, clarifies any recently suffered infectious diseases, and collects a detailed medical history. During a superficial examination, it is often possible to identify changes in the skin and muscle layer characteristic of this pathology, palpate the roughness of the kidney surface, and detect the presence of an infiltrate. At the final stage of the appointment, the doctor compiles a list of necessary examinations.
On this day, the types of diagnostic procedures prescribed by the attending physician are performed:
- laboratory tests of urine and blood;
- ultrasound examination (US) of the kidneys and perirenal tissue;
- excretory urography (X-ray examination of the kidneys);
- computed tomography (CT) of the kidneys;
- puncture of the perirenal tissue (obtaining tissue samples for subsequent determination of the presence of pathogenic agents and their sensitivity to antibiotics);
- kidney biopsy (performed for final confirmation of the diagnosis).
The results of the studies are submitted for review by the medical council, which includes the attending nephrologist and narrow-profile specialists. After studying the obtained data, the doctors collectively establish the diagnosis and develop a treatment program.
How Much Does Treatment Cost
The cost of treatment invariably interests medical tourists. It is noted that therapy in Israeli clinics is, on average, 30% cheaper than in Western European countries, allowing the patient to save about 50% of the funds required for undergoing a therapeutic course in the USA.
Advantages of Treatment in Israel
- Effectiveness of the treatment provided.
- High level of qualification and global recognition of specialists.
- Modern material and technical base of clinics.
- Application of progressive therapy methods and the latest medications.
- Affordable prices.
Current achievements in medicine and pharmacology allow for successful management of even the most severe rare diseases. By promptly contacting the chosen Israeli clinic and undergoing the prescribed treatment course, you can quickly overcome the disease and return to your normal life.