Korean J Med.
1999 Mar;56(3):394-398.
A case of acute focal bacterial nephritis complicated by acute renal failure
- Affiliations
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- 1Department of internal medicine, College of medicine, Pusan national university, Pusan, Korea.
Abstract
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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