Korean J Med.  1999 Mar;56(3):394-398.

A case of acute focal bacterial nephritis complicated by acute renal failure

• Song SH
• Kim TO
• Ryu SH
• Lee HG
• Lee WC
• Lee SB
• Lee CW
• Jung HC
• Kwak IS
• Rha HY

Abstract

Acute focal bacterial nephritis is a part of urinary tract infection and a special form of acute pyelonephritis. In most cases, it is treated well by antimicrobial therapy without severe complications. Unusual cases have been reported that renal failure and or chronic granulomatous interstitial nephritis was combined with acute focal bacterial nephritis. We describe a case of acute reanl failure complicated by acute focal bacterial nephritis in 30-year-old male. He was admitted to this hospital owing to fever, chilling, right flank pain. On admission, BUN and creatinine were 29 mg/dl, 1.8 mg/dl. Urinalysis showed leukocyturia, & bactriuria. Urine culture revealed E. coli over us. Abdominal CT and ultrasonography was represented focal hypodense area and diffuse renal enlargement so we could diagnose acute focal bacterial nephritis. The patient was improved with antimicrobial therapy and hydration. In conclusion, this case shows the possibility that unusual complication such as acute reanl failure can be happensed in acute focal bacterial nephritis in continum with acute pyelonephritis

Keyword

acute focal bacterial nephritis; renal failure

MeSH Terms

Acute Kidney Injury*
Adult
Creatinine
Fever
Flank Pain
Humans
Male
Nephritis*
Nephritis, Interstitial
Pyelonephritis
Renal Insufficiency
Tomography, X-Ray Computed
Ultrasonography
Urinalysis
Urinary Tract Infections
Creatinine