Acute lobar nephronia: value of unique magnetic resonance imaging findings in diagnosis and management
Acute lobar nephronia: value of unique magnetic resonance imaging findings in diagnosis and management
Yılmaz K, Koç G, Yel S, Dursun İ, Doğanay S. Acute lobar nephronia: value of unique magnetic resonance imaging findings in diagnosis and treatment. Turk J Pediatr 2015; 57: 105-108.Acute lobar nephronia (ALN) as a focal form of acute renal bacterial infection is a fairly rare entity. Although the treatment approaches differ considerably, ALN is clinically indistinguishable from renal abscess. Therefore, urinary imaging studies play a crucial role in accurate diagnosis and follow-up. Renal ultrasonography and computed tomography imaging findings have previously been reported; herein for the first time in the English-language literature, we report a case of a 5-year-old girl with ALN whose diagnosis was based upon magnetic resonance imaging findings
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- Yang CC, Shao PL, Lu CY, et al. Comparison of acute lobar nephronia and uncomplicated urinary tract infection in children. J Microbiol Immunol Infect 2010; 43: 207-214.
- Uehling DT, Hahnfeld LE, Scanlan KA. Urinary tract abnormalities in children with acute focal bacterial nephritis. BJU Int 2010; 85: 885-888.
- Vijayakumar M, Prahlad N, Nandhini G, Prasad N, Muralinath S. Child with acute lobar nephronia. Indian J Nephrol 2010; 20: 162-165.
- Seidel T, Kuwertz-Bröking E, Kaczmarek S, et al. Acute focal bacterial nephritis in 25 children. Pediatr Nephrol 2007; 22: 1897-1901.
- Cheng CH, Tsau YK, Chang CJ, et al. Acute lobar nephronia is associated with a high incidence of renal scarring in childhood urinary tract infections. Pediatr Infect Dis J 2010; 29: 624-628.
- Cheng CH, Tsau YK, Lin TY. Effective duration of antimicrobial therapy for the treatment of acute lobar nephronia. Pediatrics 2006; 117: 84-89.
- Soulen MC, Fishman EK, Goldman SM, Gatewood OM. Bacterial renal infection: role of CT. Radiology 1989; 171: 703-707.
- Rathore MH, Barton LL, Luisiri A. Acute lobar nephronia: a review. Pediatrics 1991; 87: 728-734.
- Klar A, Hurvitz H, Berkun Y, et al. Focal bacterial nephritis (lobar nephronia) in children. J Pediatr 1991; 128: 850-853.
- Lassel EA, Rao R, Schwenke C, et al. Diffusion-weighted imaging of focal renal lesions: a meta-analysis. Eur Radiol 2014;24: 241-249.
- Goyal A, Sharma R, Bhalla AS, Gamanagatti S, Seth A. Diffusion-weighted MRI in inflammatory renal lesions: all that glitters is not RCC Eur Radiol 2013; 23: 272-279.