Focal Bacterial Nephritis (Lobar Nephronia) in a Four- Month Old Boy

Ahn, Hye Young; Pai, Ki-Soo; Oh, Seung Hwan; Lee, Jin Yong; Kim, Pung-Kil; Lee, Jae Seung

J Korean Soc Pediatr Nephrol > Volume 5(1); 2001 > Article

J Korean Soc Pediatr Nephrol 2001;5(1): 73-77.

국소성 세균성 신염 (Lobar Nephronia) 1례

안혜영, 배기수, 오승환, 이진용, 김병길, 이재승

¹아주대학교 의과대학 소아과학교실
²아주대학교 의과대학 소아과학교실
³연세대학교 의과대학 소아과학교실
⁴연세대학교 의과대학 소아과학교실
⁵연세대학교 의과대학 소아과학교실
⁶연세대학교 의과대학 소아과학교실

Focal Bacterial Nephritis (Lobar Nephronia) in a Four- Month Old Boy

Hye Young Ahn, Ki-Soo Pai, Seung Hwan Oh, Jin Yong Lee, Pung-Kil Kim, Jae Seung Lee

¹Department of Pediatrics, Ajou University, College of Medicine
²Department of Pediatrics, Ajou University, College of Medicine
³Department of Pediatrics, Yonsei University, College of Medicine
⁴Department of Pediatrics, Yonsei University, College of Medicine
⁵Department of Pediatrics, Yonsei University, College of Medicine
⁶Department of Pediatrics, Yonsei University, College of Medicine

ABSTRACT

Acute lobar nephronia is a focal of acute bacterial nephritis, affecting one or more of the renal lobules. Nephronia is being diagnosed more frequently in accordance with the advancing imaging techniques of urinary tract. We report a case of acute nephronia in a 4 month old boy who presented persisting urinary tract infection after intial antibiotic treatment. Ultrasonography and computerized tomography showed round wedge-shaped, non-enhancing mass in right kidney. Gallium scan also revealed the lesion in the right kidney. This lesion resolved completely on one month follow up examinations. (J. Korean Soc Pediatr Nephrol 5 : 73- 7, 2001)

Key words: Nephronia | Focal bacterial nephritis | Non-enhancing renal mass | Urinary tract infection | Gallium scan