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Acute lobar nephritis in children: Not so easy to recognize and manage

By Cristina Bibalo, Andrea Apicella, Veronica Guastalla, Pierluigi Marzuillo, Floriana Zennaro, Carmela Tringali, Andrea Taddio, Claudio Germani and Egidio Barbi


Acute lobar nephritis (ALN) is a localized non-liquefactive inflammatory renal bacterial infection, which typically involves one or more lobes. ALN is considered to be a midpoint in the spectrum of upper urinary tract infection, a spectrum ranging from uncomplicated pyelonephritis to intrarenal abscess. This condition may be difficult to recognize due to the lack of specific symptoms and laboratory findings. Therefore the disease is probably underdiagnosed. Computed tomography scanning represents the diagnostic gold standard for ALN, but magnetic resonance imagine could be considered in order to limit irradiation. The diagnosis is relevant since initial intravenous antibiotic therapy and overall length of treatment should not be shorter than 3 wk. We review the literature and analyze the ALN clinical presentation starting from four cases with the aim to give to the clinicians the elements to suspect and recognize the ALN in children

Topics: Acute lobar nephritis, Children, Computed tomography, Magnetic resonance imagine, Upper urinary tract infection
Year: 2016
DOI identifier: 10.5409/wjcp.v5.i1.136
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