Ostre ogniskowe bakteryjne zapalenie nerek u dzieci (AFBN) jako proces wyprzedzający tworzenie się ropni nerek

We present the results of clinical analysis of 14 cases diagnosed as AFBN. All 14 children presented high values of CRP, variable leukocyturia and infection with E.coli or Staph. epidermidis. The USG was not quite informative, while renal CT scan revealed extensive inflammatory infiltrates in kidney parenchyma with trend to form local abscesses. Long-term wide-range antibiotic therapy was used. This treatment stopped the abscess formation and made surgical management unnecessary. We observed that the incidence of AFBN increased in recent years and included predominantly the pubertal girls. Static renal scyntygraphy will be the diagnostic tool in long-term follow-up monitoring.
Source: Pediatria Polska - Category: Pediatrics Source Type: research