Krishnamurthy Sriram, Hari Pankaj, Hari Smriti, Sharma Alok, Bagga Arvind
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian J Pediatr. 2008 Sep;75(9):961-3. doi: 10.1007/s12098-008-0102-x. Epub 2008 Jun 23.
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.
我们描述了一例不寻常的病例，一名8岁儿童出现低热和急性肾衰竭。检查显示血尿素246mg/dl，血清肌酐6.4mg/dl，镜下血尿和2+蛋白尿。鉴于肾功能迅速恶化，进行了肾活检，结果显示有密集的淋巴浆细胞浸润和中性粒细胞，伴有局灶性间质坏死，确诊为急性肾盂肾炎。超声检查和磁共振成像显示有多个肾脓肿。对他采用了抗菌治疗和血液透析。
