1. Acute focal bacterial nephritis: a systematic approach to diagnosis and treatment.
- Author
-
Zaontz MR, Pahira JJ, Wolfman M, Gargurevich AJ, and Zeman RK
- Subjects
- Acute Disease, Adult, Aged, Angiography, Anti-Bacterial Agents therapeutic use, Escherichia coli Infections drug therapy, Female, Focal Infection drug therapy, Humans, Kidney diagnostic imaging, Klebsiella Infections drug therapy, Male, Middle Aged, Nephritis drug therapy, Pyelonephritis diagnostic imaging, Pyelonephritis drug therapy, Tomography, X-Ray Computed, Ultrasonography, Escherichia coli Infections diagnostic imaging, Focal Infection diagnostic imaging, Klebsiella Infections diagnostic imaging, Nephritis diagnostic imaging
- Abstract
Acute focal bacterial nephritis, synonymous with acute lobar nephronia or focal nonliquefactive pyelonephritis, represents a localized area of renal inflammation. Clinically, acute focal bacterial nephritis presents as acute pyelonephritis but is distinguishable by the presence of a focal mass on excretory urography. The further distinction between acute focal bacterial nephritis and other renal masses is aided by the appropriate use of renal sonography and computerized tomography. The clinical and imaging manifestations in 9 patients with acute focal bacterial nephritis are described. Our experience coupled with a review of the literature suggests that a systematic approach to the diagnosis and management of acute focal bacterial nephritis allows for the most efficacious use of the noninvasive imaging modalities.
- Published
- 1985
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