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Journal of the Korean Society of Pediatric Nephrology 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.
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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
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