J Korean Soc Pediatr Nephrol.  2012 Apr;16(1):63-37.

Acute Kidney Injury Accompanied by Acute Pyelonephritis and Renal Abscess in a Child with Vesicoureteral Reflux

Affiliations
  • 1Department of Pediatrics, Korea University, Seoul, Korea. he-yim@hanmail.net

Abstract

Acute pyelonephritis (APN) is a relatively common bacterial infection in children. In previously healthy children, acute kidney injury (AKI) is very rare in the course of APN without urinary tract obstruction, renal hypoperfusion due to hypotension or exposure to nephrotoxic agents. We describe a case of AKI secondary to APN and renal abscess in a child with vesicoureteral reflux. With antibiotic treatment and adequate hydration, the patient was improved. APN should be included in the differential diagnosis of AKI and adequate treatment by proper antibiotics is crucial for full recovery of renal function.

Keyword

Abscess; Acute kidney injury; Pyelonephritis

MeSH Terms

Abscess
Acute Kidney Injury
Anti-Bacterial Agents
Bacterial Infections
Child
Diagnosis, Differential
Humans
Hypotension
Pyelonephritis
Urinary Tract
Vesico-Ureteral Reflux
Anti-Bacterial Agents
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