Focal bacterial nephritis (lobar nephronia) in children.
We report 13 patients with 16 episodes of acute lobar nephronia diagnosed in a prospective study that was conducted among 210 hospitalized children with urinary tract infection. In 30 episodes of urinary tract infection, a hypoechogenic or hyperechogenic lesion was found. Twenty patients underwent computed tomography, and in 16 of them acute lobar nephronia was diagnosed. Evolution to renal abscess occurred in 25%. Prolonged intravenous antibiotic treatment was sufficient in all cases.
Klar
A
A
Department of Pediatrics, Hebrew University-Hadassah Medical School, Bikur Cholim General Hospital, Jerusalem, Israel.
Hurvitz
H
H
Berkun
Y
Y
Nadjari
M
M
Blinder
G
G
Israeli
T
T
Halamish
A
A
Katz
A
A
Shazberg
G
G
Branski
D
D
D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy; D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007223:Infant; D007710:Klebsiella Infections / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D009393:Nephritis / Q000175:diagnosis* / Q000188:drug therapy; D013203:Staphylococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000900:Anti-Bacterial Agents