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[Acute diffuse bacterial nephritis in horse shoe kidney]
A Rodríguez Alonso1, A González Blanco, C Bonelli Martín
1Servicio de Urología, Hospital Arquitecto Marcide, El Ferrol, La Coruña.
Actas Urologicas Espanolas
|March 21, 2003
Summary
Horseshoe kidney patients are prone to urinary tract infections. Acute bacterial nephritis in these patients can be effectively diagnosed with CT scans and treated with prolonged antibiotics.
Area of Science:
- Nephrology
- Pediatric Urology
- Radiology
Background:
- Horseshoe kidney is a congenital anomaly associated with urinary tract infections due to pelvic ectasia.
- Acute bacterial nephritis represents an intermediate stage between acute pyelonephritis and renal abscess.
- Clinical differentiation between these conditions is challenging, necessitating advanced imaging.
Observation:
- Computed tomography (CT) contrast scans are highly sensitive and specific for diagnosing acute bacterial nephritis.
- CT findings typically include circular or wedge-shaped cortical areas that enhance after contrast administration.
- A case of diffuse acute bacterial nephritis in a pediatric patient with horseshoe kidney was observed.
Findings:
- The CT contrast scan proved to be the most effective diagnostic tool.
- Successful treatment was achieved through a prolonged course of broad-spectrum antibiotherapy.
- The patient, a child with horseshoe kidney, recovered fully.
Implications:
- Early and accurate diagnosis of acute bacterial nephritis is crucial, especially in patients with congenital renal anomalies.
- CT imaging is the gold standard for differentiating acute bacterial nephritis from other renal infections.
- Extended antibiotic therapy is essential for successful management and preventing complications in these cases.