Vijayakumar M, Prahlad N, Nandhini G, Prasad N, Muralinath S
Department of Pediatric Nephrology, Mehta Children's Hospital, Chennai - 600 031, India.
Indian J Nephrol. 2010 Jul;20(3):162-5. doi: 10.4103/0971-4065.70847.
A five-year-old girl child presented to us with a history of two weeks high grade fever treated outside with intensive antibiotic therapy for an ultrasound abdomen finding of hypoechoic lesion in the midpole of the left kidney. As fever and sonographic findings persisted, a CT abdomen was done, which showed features of lobar nephronia but reported as Wilm's tumor. Child underwent open biopsy and the diagnosis of lobar nephronia was confirmed. Child was continued on antibiotics and fever and sonographic findings improved.
一名五岁女童前来我院就诊，有两周高热病史，在外院因超声检查发现左肾中极低回声病变接受了强化抗生素治疗。由于发热和超声检查结果持续存在，遂进行了腹部CT检查，显示为大叶性肾炎特征，但报告为肾母细胞瘤。患儿接受了开放性活检，确诊为大叶性肾炎。患儿继续使用抗生素治疗，发热及超声检查结果均有所改善。
