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Journal of the Korean Society of Pediatric Nephrology 2006;10(2): 244-248.
소아에서 Shigella dysenteri에 의한 신우신염 1례
오경일, 김성진, 장주희, 오윤정, 강성길, 홍영진, 손병관, 이지은
1인하대학교 의과대학 소아과학교실
2인하대학교 의과대학 소아과학교실
3인하대학교 의과대학 소아과학교실
4인하대학교 의과대학 소아과학교실
5인하대학교 의과대학 소아과학교실
6인하대학교 의과대학 소아과학교실
7인하대학교 의과대학 소아과학교실
8인하대학교 의과대학 소아과학교실
An Unusual Case of Acute Pyelonephritis Caused by Shigella dysenteri in a Child
Kyung-Il Oh, Sung-Jin Kim, Joo-Hee Zhang, Yun-Jung Oh, Sung-Kil Kang, Young-Jin Hong, Byong-Kwan Son, Ji-Eun Lee
1Department of Pediatrics, College of Medicine, Inha University
2Department of Pediatrics, College of Medicine, Inha University
3Department of Pediatrics, College of Medicine, Inha University
4Department of Pediatrics, College of Medicine, Inha University
5Department of Pediatrics, College of Medicine, Inha University
6Department of Pediatrics, College of Medicine, Inha University
7Department of Pediatrics, College of Medicine, Inha University
8Department of Pediatrics, College of Medicine, Inha University
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ABSTRACT
Shigella infection usually produces gastrointestinal symptoms but rarely causes urinary tract infection. A 7-year-old girl was admitted for fever, chills, right flank pain, and dysuria. She had no vomiting or diarrhea. There was mild tenderness in her right lower abdomen, and right CVA tenderness was also noted. Acute pyelonephritis was diagnosed by abdominal CT. She showed improvement with intravenous administration of antibiotics. The first urine culture grew $1{times}10^5$ CFU/mL Shigella dysenteri. Although urinary tract infections due to Shigella species are extremely rare, Shigella species should be considered as a possible cause of pediatric urinary tract infection. We report the first case of urinary tract infection caused by S. dysenteri, which presented as acute pyelonephritis without gastrointestinal symptoms in a child.
Key words: Acute pyelonephritis | S. dysenteri | Child
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