Figure 737

Urinary tract infection (UTI) in the immunocompromised host. UTI results from the encounter of a pathogen and a host. Natural defenses against UTI rest on both cellular and humoral defense mechanisms. These defense mechanisms are compromised by diabetes, pregnancy, and advanced age. Diabetic patients often harbor asymptomatic bac-teriuria and are prone to severe forms of pyelonephritis requiring immediate hospitalization and aggressive treatment in an intensive care unit.

A particular complication of upper renal infection in diabetes is papillary necrosis (see Fig. 7-32). The pathologic appearance of a sloughing renal papilla, A. The sloughed papilla is eliminated and can be recovered by sieving the urine, B. In other cases, the necrotic papilla obstructs the ureter, causing retention of infected urine and severely aggravating the pyelonephritis. C, It can lead to pyonephrosis (ie, complete destruction of the kidney), as shown on CT.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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