A report of 18 cases of acute focal bacterial nephritis
- VernacularTitle:急性局灶性细菌性肾炎18例报告
- Author:
Jun LIN
;
Yuhai ZHANG
- Publication Type:Journal Article
- Keywords:
Nephritis;
Bacterial infections
- From:
Chinese Journal of Urology
2001;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo study the diagnosis and treatment of acute focal bacterial nephritis ( AFBN). MethodsBetween 1987 and 1999, we treated 18 patients with AFBN.The diagnosis,treatment and late follow up results were studied and reviewed.13 men and 5 woman,aged 16～56 years with an average of 32 years.The left kidneys in 13 patients,the right kidneys in 4 patients and both kidneys in 1 patient were affected.All of the patients presented a fever and persistent flank pain on affected side.Ultrasound showed local enlarged renal volume and space-occupying masses with low level echoes.CT scans demonstrated focal enlargement of affected kidneys and low-density solid space-occupying lesions.CT reconstruction showed wedge-shaped masses.ResultsIn 16 of the 18 cases,the clinical symptoms and the renal mass disappeared following anti-infection treatment.2 patients required operations,with draining the abscessin for one and nephrectomy for the other one.ConclusionsEarly diagnosis and prompt treatment are essential to AFBN,early and rational anti-infection treatment is effective.
