Pyelonephritis presenting with severe acute renal failure.

Abstract

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.

• Authors: Sriram Krishnamurthy, Pankaj Hari, Smriti Hari, Alok Sharma, Arvind Bagga
• Journal: Indian journal of pediatrics (Indian J Pediatr) Vol. 75 Issue 9 Pg. 961-3 (Sep 2008) ISSN: 0973-7693 [Electronic] India
• PMID: 18574576 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Infective Agents

Topics

• Abscess (complications, diagnostic imaging)
• Acute Disease
• Acute Kidney Injury (etiology, pathology, therapy)
• Anti-Infective Agents (administration & dosage, therapeutic use)
• Child
• Drug Therapy, Combination
• Fever (etiology)
• Humans
• Kidney Diseases (complications, diagnostic imaging)
• Pyelonephritis (complications, drug therapy, pathology)
• Radiography
• Renal Dialysis
• Ultrasonography