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Related Concept Videos

Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Acute Kidney Injury I: Introduction01:22

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Introduction:Acute Kidney Injury (AKI) describes a swift decrease in kidney function occurring over hours to days, characterized by the kidneys' failure to remove waste products from the bloodstream. This leads to dangerous complications like metabolic acidosis, fluid overload, and electrolyte imbalances, such as hyperkalemia, which can cause life-threatening arrhythmias. AKI is common in both hospital and outpatient settings, often triggered by dehydration, sepsis, or exposure to nephrotoxic...
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Related Experiment Video

Updated: Jun 19, 2026

Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
09:43

Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice

Published on: June 8, 2022

ACUTE INTERSTITIAL NEPHRITIS.

W T Councilman1

  • 1Sears Pathological Laboratory of Harvard University.

The Journal of Experimental Medicine
|October 30, 2009
PubMed
Summary
This summary is machine-generated.

Acute interstitial nephritis in children involves plasma cell infiltration in the kidneys, often linked to infections like diphtheria and scarlet fever. The focal nature of these kidney lesions remains unexplained.

Related Experiment Videos

Last Updated: Jun 19, 2026

Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice
09:43

Analyses of Proteinuria, Renal Infiltration of Leukocytes, and Renal Deposition of Proteins in Lupus-prone MRL/lpr Mice

Published on: June 8, 2022

Area of Science:

  • Pediatric Nephrology
  • Infectious Diseases
  • Renal Pathology

Background:

  • Acute interstitial nephritis is observed in various childhood infectious diseases, notably diphtheria and scarlet fever.
  • The condition is histologically characterized by interstitial kidney infiltration with plasma cells.
  • Focal accumulation of plasma and lymphoid cells in renal blood vessels precedes interstitial infiltration.

Purpose of the Study:

  • To describe the cellular characteristics and distribution of acute interstitial nephritis in infectious diseases.
  • To investigate the origin and migration of plasma cells in renal interstitial tissue.
  • To explore potential explanations for the focal nature of kidney lesions.

Main Methods:

  • Histopathological examination of kidney tissue from children with infectious diseases.
  • Identification and characterization of infiltrating cells, particularly plasma cells and lymphoid cells.
  • Correlation of cellular infiltration patterns with specific infectious agents and clinical presentations.

Main Results:

  • Plasma cells, originating from lymphoid cells, infiltrate the kidney interstitium, often in focal patterns within the boundary zone, sub-capsular cortex, and around glomeruli.
  • Cellular infiltration originates from emigration from blood vessels and subsequent mitotic division.
  • While plasma cells are found in infectious nephritis, their exact role and the cause of focal distribution are not fully elucidated; bacterial presence is not consistently linked to these foci.

Conclusions:

  • Acute interstitial nephritis in children is associated with plasma cell infiltration, frequently seen in conjunction with infections like diphtheria and scarlet fever.
  • The precise mechanisms driving the focal accumulation of plasma cells in the kidney remain unclear, with circulation dynamics and potential chemotactic factors suggested.
  • Further research is needed to fully understand the pathogenesis of focal interstitial nephritis and the role of plasma cells in infectious kidney diseases.