Acute focal bacterial nephritis in an 8-year-old .
Acute focal bacterial nephritis or acute lobar nephronia is an acute localized non-liquefactive bacterial kidney infection. Clinically, it may develop as an abscess and present as acute pyelonephritis but is distinguishable by the presence of a focal mass on imaging studies. The authors report the case of an 8-year-old girl with fever up to 39 degrees C and left flank pain of 6 days duration. On physical examination, she had nothing remarkable except tenderness and knocking pain over the left costovertebral angle. Post-contrast abdominal computed tomography revealed several wedge-shaped hypodense lesions in the left kidney. Urine culture grew Escherichia coli. Acute focal bacterial nephritis was diagnosed. The patient was treated with antibiotics and discharged on the 12th day of hospitalization.
Wan
Kong-Sang
KS
Department of Pediatrics, Min-Sheng General Hospital, Taoyuan, Taiwan. gwan1998@yahoo.com
Chen
Chun-An
CA
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004926:Escherichia coli / Q000187:drug effects* / Q000502:physiology*; D005260:Female; D005490:Focal Infection / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology* / Q000652:urine; D006801:Humans; D009393:Nephritis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology* / Q000652:urine; D011859:Radiography; D015898:Tomography Scanners, X-Ray Computed
D000900:Anti-Bacterial Agents