A Case of Acute Renal Failure due to Bilateral Acute Pyelonephritis / 대한신장학회잡지
Korean Journal of Nephrology
;
: 988-993, 1998.
Artigo
em Coreano
| WPRIM
| ID: wpr-94068
ABSTRACT
Although urinary tract infections are common in adults, pyelonephritis is rarely considered in the differential diagnosis of acute renal failure. Acute pyelonephritis without urinary tract obstruction, previous renal diseases or septic shock is a rare cause of acute renal failure. Despite appropriate antibiotic therapy, recovery of renal function could be slow and incomplete. We experienced a 45 year-old woman with diabetes who developed bilateral acute pyelonephritis followed by acute renal failure. The renal biopsy revealed diffuse edematous and focal fibrotic inters- titium with infiltration of lymphocytes compatible with interstitial nephritis. Although her renal function improved gradually with antimicrobial treatment, the process was incomplete and renal dysfunction persisted at about 10-month follow-up, suggesting permanent renal damage. Therefore, we report this case with brief review of related literature.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pielonefrite
/
Choque Séptico
/
Sistema Urinário
/
Infecções Urinárias
/
Biópsia
/
Linfócitos
/
Seguimentos
/
Diagnóstico Diferencial
/
Injúria Renal Aguda
/
Nefrite Intersticial
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Ano de publicação:
1998
Tipo de documento:
Artigo
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