title: Acute multifocal bacterial nephritis complicated with acute renal failure and thrombocytopenia.
abstract: A 50-year-old woman was transferred to our hospital because of acute renal failure and thrombocytopenia. Due to rapid enlargement of the kidney, we first suspected that she had diffuse renal invasion of anaplastic carcinoma or lymphoma of the kidney. Anti-bacterial treatment for complicated urinary tract infection and hemodialysis treatment resulted in recovery of both renal function and thrombocytopenia. Serial CT study demonstrated disappearance of kidney swelling and multiple masses within the kidney. We finally made a diagnosis of acute multifocal bacterial nephritis. Timely initiation of dialysis therapy and appropriate anti-bacterial treatment was essential to rescue this case.
authors.affiliation: Division of Internal Medicine, Tsukuba University Hospital.
authors.forename: Hideharu
authors.initials: H
authors.lastname: Muto
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Yamagata
authors.forename: Mariko
authors.initials: M
authors.lastname: Inoue
authors.forename: Kensuke
authors.initials: K
authors.lastname: Nakazawa
authors.forename: Yuko
authors.initials: Y
authors.lastname: Hashimoto
authors.forename: Tsuneaki
authors.initials: T
authors.lastname: Matsunaga
authors.forename: Kouichi
authors.initials: K
authors.lastname: Hirayama
authors.forename: Kazunori
authors.initials: K
authors.lastname: Hattori
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Akaza
authors.forename: Akio
authors.initials: A
authors.lastname: Koyama
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009393:Nephritis / Q000150:complications* / Q000382:microbiology*; D013921:Thrombocytopenia / Q000209:etiology*