Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acute Multifocal Bacterial Nephritis Complicated with Acute Renal Failure and Thrombocytopenia
Hideharu MUTOKunihiro YAMAGATAMariko INOUEKensuke NAKAZAWAYuko HASHIMOTOTsuneaki MATSUNAGAKouichi HIRAYAMAKazunori HATTORIHideyuki AKAZAAkio KOYAMA
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JOURNALS OPEN ACCESS

2005 Volume 44 Issue 10 Pages 1084-1087

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Abstract

A 50-year-old woman was transferred to our hospital because of acute renal failure and thrombocytopenia. Due to rapid enlargement of the kidney, we first suspected that she had diffuse renal invasion of anaplastic carcinoma or lymphoma of the kidney. Anti-bacterial treatment for complicated urinary tract infection and hemodialysis treatment resulted in recovery of both renal function and thrombocytopenia. Serial CT study demonstrated disappearance of kidney swelling and multiple masses within the kidney. We finally made a diagnosis of acute multifocal bacterial nephritis. Timely initiation of dialysis therapy and appropriate anti-bacterial treatment was essential to rescue this case.

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© 2005 by The Japanese Society of Internal Medicine
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