title: A rare and unusual presentation of urological infection on a patient on steroids.
abstract: We report the rare case of adult lobar nephronia in a 49-year-old female, on long-term steroids with no prior urological or transplant history. More frequently reported in paediatric literature, adult lobar nephronia (focal pyelonephritis) is an unusual radiological finding sometimes preceding the development of renal abscess. We advocate that treatment should be a prolonged course of antibiotics and close follow-up.
authors.affiliation: Department of Urology, Royal Sussex County Hospital, Brighton, UK. tsongkwongpapers@gmail.com
authors.forename: Tsong
authors.initials: T
authors.lastname: Kwong
authors.forename: Charles
authors.initials: C
authors.lastname: Coker
authors.forename: Emma
authors.initials: E
authors.lastname: Simpson
mesh_terms: D004927:Escherichia coli Infections / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000627:therapeutic use; D008875:Middle Aged; D011704:Pyelonephritis / Q000175:diagnosis* / Q000382:microbiology*; D014552:Urinary Tract Infections / Q000175:diagnosis*
chemical_list: D006854:Hydrocortisone