Top

Published in:

01-05-2020 | Vesicorenal Reflux | Clinical Quiz

Urinary tract infection that a pediatric nephrologist must keep in mind: Answers

Authors: Gökçen Erfidan, Demet Alaygut, Eren Soyaltın, Cemaliye Başaran, Seçil Arslansoyu Çamlar, Fatma Mutlubaş, Belde Kasap Demir

Published in: Pediatric Nephrology | Issue 5/2020

Excerpt

1. All three patients presented with treatment-resistant high fever, costovertebral angle tenderness, and very high acute phase reactant values. Although all three cases were evaluated as acute pyelonephritis (APN) in the first evaluation, due to high acute phase reactant levels and septic clinical course, advanced imaging studies were performed and a clinical diagnosis of acute focal bacterial nephritis (AFBN) was made. Since its clinical picture is very similar to that of APN, the diagnosis of AFBN is not always easy to make in patients presenting with these clinical manifestations. …

Mizutani M, Hasegawa S, Matsushige T, Ohta N, Kittaka S, Hoshide M, Kusuda T, Takahashi K, Ichihara K, Ohga S (2017) Distinctive inflammatory profile between acute focal bacterial nephritis and acute pyelonephritis in children. Cytokine 99:24–29CrossRef

Rosenfield AT, Glickman MG, Taylor KJ, Crade M, Hodson J (1979) Acute focal bacterial nephritis (acute lobar nephronia). Radiology 132:553–561CrossRef

Lawson GR, White FE, Alexander FW (1985) Acute focal bacterial nephritis. Arch Dis Child 60:475–477CrossRef

Cheng CH, Tsau YK, Lin TY (2010) Is acute lobar nephronia the midpoint in the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess? J Pediatr 156:82–86CrossRef

Sheu JN (2015) Acute lobar nephronia in children. Pediatr Neonatol 56:141–142CrossRef

Seidel T, Eberhard Kuwertz-Bröking E, Kaczmarek S, Kirschstein M, Frosch M, Bulla M, Harms E (2007) Acute focal bacterial nephritis in 25 children. Pediatr Nephrol 22:1897–1901CrossRef

Alaygut D, Bayram M, Soylu A, Türkmen M, Kavukcu S (2013) Acute focal bacterial nephritis developed in a healthy child. Turk J Pediatr 55:226–228PubMed

Oka H, Nagamori T, Yamamoto S, Manabe H, Taketazu G, Mukai T, Sakata H, Oki J (2019) Non-invasive discrimination of acute focal bacterial nephritis with pyelonephritis. Pediatr Int 61:777–780CrossRef

Rathore MH, Barton LL, Luisiri A (1991) Acute lobar nephronia: a review. Pediatrics 87:728–734PubMed

10.

Sekine H, Kawasaki Y, Ohara S, Suyama K, Hosoya M (2014) Focal bacterial nephritis without pyuria in a boy presenting with high urinary β2-MG and NAG levels. Fukushima J Med Sci 60:91–94CrossRef

11.

Wyllie DH, Bowler IC, Peto TE (2004) Relation between lymphopenia and bacteraemia in UK adults with medical emergencies. J Clin Pathol 57:950–955CrossRef

12.

Belhadj-Tahar H, Coulais Y, Tafani M, Bouissou F (2008) Procalcitonin implication in renal cell apoptosis induced by acute pyelonephritis in children. Infect Drug Resist 1:17–20CrossRef

13.

Cheng CH, Tsai MH, Su LH, Wang CR, Lo WC, Tsau YK, Lin GJ, Huang YC, Chiu CH, Lin TY (2008) Renal abscess in children: a 10-year clinical and radiologic experience in a tertiary medical center. Pediatr Infect Dis J 27:1025–1030CrossRef

14.

Rianthavorn P (2011) Progression and resolution of acute focal bacterial nephritis. Iran J Kidney Dis 5:271–274PubMed

Title: Urinary tract infection that a pediatric nephrologist must keep in mind: Answers
Authors: Gökçen Erfidan
Demet Alaygut
Eren Soyaltın
Cemaliye Başaran
Seçil Arslansoyu Çamlar
Fatma Mutlubaş
Belde Kasap Demir
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keywords: Vesicorenal Reflux
Renal Abscess
Antibiotic
Urinary Tract Infection
Published in: Pediatric Nephrology / Issue 5/2020
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI: https://doi.org/10.1007/s00467-019-04438-w

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Urinary tract infection that a pediatric nephrologist must keep in mind: Answers

Excerpt

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 5/2020

A rare complication of systemic lupus erythematosus in a 9-year-old girl: Questions

Augmentation index, a predictor of cardiovascular events, is increased in children and adolescents with primary nephrotic syndrome

Proptosis in a child with chronic kidney disease: Questions

Clinical relevance of membrane attack complex deposition in children with IgA nephropathy and Henoch-Schönlein purpura

Changes of cardiac functions after hemodialysis session in pediatric patients with end-stage renal disease: conventional echocardiography and two-dimensional speckle tracking study

The importance of clinician, patient and researcher collaborations in Alport syndrome