Acute Kidney Injury Accompanied by Acute Pyelonephritis and Renal Abscess in a Child with Vesicoureteral Reflux

Park, Cheol; Kim, Min-Sang; Kim, Mi-Kyung; Yim, Hyung-Eun; Yoo, Kee-Hwan; Hong, Young-Sook; Lee, Joo-Won

doi:2012.16.1.63

J Korean Soc Pediatr Nephrol > Volume 16(1); 2012 > Article

J Korean Soc Pediatr Nephrol 2012;16(1): 63-67. doi: https://doi.org/10.3339/jkspn.2012.16.1.63

소아에서 방광 요관역류가 동반된 급성 신우신염 및 신장 농양으로 인한 급성 신부전 1례

박철, 김민상, 김미경, 임형은, 유기환, 홍영숙, 이주원

¹고려대학교 의과대학 소아과학교실
²고려대학교 의과대학 소아과학교실
³고려대학교 의과대학 소아과학교실
⁴고려대학교 의과대학 소아과학교실
⁵고려대학교 의과대학 소아과학교실
⁶고려대학교 의과대학 소아과학교실
⁷고려대학교 의과대학 소아과학교실

Acute Kidney Injury Accompanied by Acute Pyelonephritis and Renal Abscess in a Child with Vesicoureteral Reflux

Cheol Park, Min-Sang Kim, Mi-Kyung Kim, Hyung-Eun Yim, Kee-Hwan Yoo, Young-Sook Hong, Joo-Won Lee

¹Department of Pediatrics, Korea University
²Department of Pediatrics, Korea University
³Department of Pediatrics, Korea University
⁴Department of Pediatrics, Korea University
⁵Department of Pediatrics, Korea University
⁶Department of Pediatrics, Korea University
⁷Department of Pediatrics, Korea University

Received: March 3, 2012; Accepted: April 16, 2012.

ABSTRACT

Acute pyelonephritis (APN) is a relatively common bacterial infection in children. In previously healthy children, acute kidney injury (AKI) is very rare in the course of APN without urinary tract obstruction, renal hypoperfusion due to hypotension or exposure to nephrotoxic agents. We describe a case of AKI secondary to APN and renal abscess in a child with vesicoureteral reflux. With antibiotic treatment and adequate hydration, the patient was improved. APN should be included in the differential diagnosis of AKI and adequate treatment by proper antibiotics is crucial for full recovery of renal function.

Key words: Abscess | Acute kidney injury | Pyelonephritis