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Three Cases of Acute Focal Bacterial Nephritis

Journal of the Korean Pediatric Society 1999;42(1):138-142.
Published online January 15, 1999.
Three Cases of Acute Focal Bacterial Nephritis
Yeon Soo Lim1, Jae Kook Cha1, Kon Hee Lee1, Kwan Seop Le2
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Department of Radiology, College of Medicine, Hallym University, Seoul, Korea
급성 국소성 세균성 신장염 3례
임연수1, 차재국1, 이건희1, 이관섭2
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 방사선과학교실
Abstract
Acute focal bacterial nephritis(AFBN) is an unusual form of localized renal infection, which has various imaging findings and should be distinguished from abscess or other renal masses. Clinical symptoms are similar to other urinary tract infections but the diagnosis needs a CT or sonographic confirmation. Treatment, which is nonoperative, consists of intensive antibiotic therapy. We report three cases of AFBN with urinary tract infection in an 11-month-old, 9-month-old female and 8-month-old male patients, respectively. The confirmative diagnosis was done by localized intrarenal solid mass lesion by sonography. They were treated with intravenous and oral antibiotics for 6, 4 and 2weeks, respectively. Follow-up urinalysis, urine culture and sonographic finding were normal after treatment.
Key Words: Acute focal bacterial nephritis, Ultrasonography


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