Pediatr. praxi 2019; 20(1): 28-31 | DOI: 10.36290/ped.2019.006

Serious course of pyelonephritis in a 6-month‑old child

MUDr. Miroslava Brndiarová, PhD.¹, MUDr. Martin Jonáš², MUDr. Magda Antonyová¹, MUDr. Lýdia Zubríková¹, prof. MUDr. Peter Bánovčin, CSc.¹

Klinika detí a dorastu, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Univerzitná

¹ nemocnica Martin

Urologická klinika, Jesseniova lekárska fakulta v Martine, Univerzita Komenského v Bratislave, Univerzitná

² nemocnica Martin

Urinary tract infections are the second most common bacterial infection in childhood. Most often, they appear to be acute pyelonephritis. Corticomedullary kidney abscess is one of the most serious but rare complications of acute pyelonephritis. The most common pathogen is Escherichia coli. Clinical manifestations and laboratory parameters are nonspecific. Kidneys ultrasound examination and CT scan with contrastive substance are important in diagnosis. Treatment of systemic broad – spectrum antibiotics is recommended. Percutaneous and open drainage of abscess is performed in the indicated situations. The authors present the case of a 6-month-old child with pyelonephritis, which was complicated by multiple kidneys abscesses and kidney failure. Later, the vesicoureteral reflux grade III was detected. After 6 months of infection, DMSA scintigraphy was performed, and was present the morphological and functional renal asymmetry in the left kidney. The renal contours were irregular, the distribution of radiopharmaceutical was not uniform and there was minimal parenchymal scar between the middle and caudal third of the left kidney.

Keywords: kidney absces, children, management

Published: February 22, 2019  Show citation