Two cases of acute renal failure secondary to acute pyelonephritis.
- Author:
Sam Seok PARK
1
;
Woo Hyung BAE
;
Do Hoon KIM
;
Sang Heun SONG
;
Hyun Chul JUNG
;
Woo Chun LEE
;
Soo Bong LEE
;
Ihm Soo KWAK
;
Ha Yeon RHA
Author Information
1. Department of Internal Medicine, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Acute pyelonephritis;
Acute renal failure
- MeSH:
Acute Kidney Injury*;
Aged;
Creatinine;
Diagnosis, Differential;
Fever;
Flank Pain;
Humans;
Pyelonephritis*
- From:Korean Journal of Medicine
2001;60(3):254-259
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute renal failure secondary to acute pyelonephritis is developed rarely. But acute pyelonephritis is considered in differential diagnosis of acute renal failure, particularly in elderly patient. Elderly patient showed subtle symptoms or signs of infections and can be missed easily. We experienced two cases of acute renal failure secondary to acute pyelonephritis. In first case, one patient complained fever, chilling and right flank pain for 10 days. Three repeated blood and urine cultures showed E. coli, respectively. At admission serum creatinine showed 2.4 mg/dL and thereafter increased to 4.5 mg/dL, and then decreased to 1.7 mg/dL with antibiotic therapy and hydration at 14 days of admission. In second case, patient complained right flank pain, costovertebral tenderness and urinary difficulty at admission. Two repeated blood culture showed no growth, two repeated urine culture showed > 105 ml/dL of E. coli. At admission serum creatinine level was 2.69 mg/dL and then decreased to 1.7 mg/dL with antibiotic therapy and hydration at 14 days of admission.Acute pyelonephritis should be considered in differential diagnosis of acute renal failure in the elder ages, although this developed rarely. Early recognition and appropriate antibiotic treatment helps recover acute renal failure secondary to acute pyelonephritis.
