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Acute focal bacterial nephritis is a part of urinary tract infection and a special form of acute pyelonephritis. In most cases, it is treated well by antimicrobial therapy without severe complications. Unusual cases have been reported that renal failure and or chronic granulomatous interstitial nephritis was combined with acute focal bacterial nephritis. We describe a case of acute reanl failure complicated by acute focal bacterial nephritis in 30-year-old male. He was admitted to this hospital owing to fever, chilling, right flank pain. On admission, BUN and creatinine were 29 mg/dl, 1.8 mg/dl. Urinalysis showed leukocyturia, & bactriuria. Urine culture revealed E. coli over us. Abdominal CT and ultrasonography was represented focal hypodense area and diffuse renal enlargement so we could diagnose acute focal bacterial nephritis. The patient was improved with antimicrobial therapy and hydration. In conclusion, this case shows the possibility that unusual complication such as acute reanl failure can be happensed in acute focal bacterial nephritis in continum with acute pyelonephritis
Acute Kidney Injury* ; Adult ; Creatinine ; Fever ; Flank Pain ; Humans ; Male ; Nephritis* ; Nephritis, Interstitial ; Pyelonephritis ; Renal Insufficiency ; Tomography, X-Ray Computed ; Ultrasonography ; Urinalysis ; Urinary Tract Infections

10.A case of acute interstitial nephritis associated with cimetidine therapy.

Young Ok KIM ; Seung Kyu LEE ; Sun Ae YOON ; Byung Kee BANG ; Soon Hwa HONG ; Byung Hwa HA ; Bong Soo LEE ; Eun Jung LEE

Korean Journal of Medicine 1999;57(5):941-945

Although cimetidine causes a transient rise in serum creatinine without reduction of renal function, acute renal failure due to acute interstitial nephritis is rare in patients after cimetidine treatment. We here present a case of acute renal failure and acute interstitial nephritis that occurred during cimetidine treatment. A 38-year old woman was referred to our hospital because of nausea and general weakness. She had been taking cimetidine for 3 weeks because of epigasric discomfort. On admission, serum creatinine was 3.9 mg/dL and urinalysis showed mild proteinuria and hematuria. There was no history of pyelonephritis, diabetes mellitus, hypertension, toxin exposure. Renal biopsy showed severe interstitial infiltration of lymphocytes without definite glomerular change. After withdrawal of cimetidine, renal function completely recovered.
Acute Kidney Injury ; Adult ; Biopsy ; Cimetidine* ; Creatinine ; Diabetes Mellitus ; Female ; Hematuria ; Humans ; Hypertension ; Lymphocytes ; Nausea ; Nephritis, Interstitial* ; Proteinuria ; Pyelonephritis ; Urinalysis

1.Tubulointerstitial Nephritis.

2.A Case of Acute Tubulointerstitial Nephritis Associated with Rifampin Therapy Presenting as Fanconi-like Syndrome

3.A case of xanthogranulomatous pyelonephritis.

4.A case of xanthogranulomatous pyelonephritis.

5.A case of acute interstitial nephritis induced by furosenmide in patient with nephrotic syndrome.

6.A Case of Acute Interstitial Nephritis Associated with Yersinia Pseudotuberculosis Infection.

7.Predominant tubulointerstitial lupus nephritis in a case.

8.Acute renal failure associated with tubulointerstitial nephritis in the clinical course of parathphoid fever.

9.A case of acute focal bacterial nephritis complicated by acute renal failure.

10.A case of acute interstitial nephritis associated with cimetidine therapy.

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