Pyelonephritis presenting with severe acute renal failure.
We describe an unusual case of an 8-yr-old child presenting with low grade fever and acute renal failure. Investigations showed blood urea 246 mg/dl, serum creatinine 6.4 mg/dl, microscopic hematuria and 2+ proteinuria. Renal biopsy was done in view of rapidly worsening kidney function and showed dense lymphoplasmacytic infiltrate and neutrophils with focal areas of interstitial necrosis, confirming acute pyelonephritis. Ultrasonography and MRI demonstrated multiple renal abscesses. He was managed with antimicrobial therapy and hemodialysis.
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Sriram
S
Krishnamurthy
Pankaj
P
Hari
Smriti
S
Hari
Alok
A
Sharma
Arvind
A
Bagga
D000038:Abscess / Q000150:complications / Q000000981:diagnostic imaging; D000208:Acute Disease; D058186:Acute Kidney Injury / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D000890:Anti-Infective Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D002648:Child; D004359:Drug Therapy, Combination; D005334:Fever / Q000209:etiology; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000000981:diagnostic imaging; D011704:Pyelonephritis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D011859:Radiography; D006435:Renal Dialysis; D014463:Ultrasonography
D000890:Anti-Infective Agents