Severe renal failure in acute bacterial pyelonephritis: Do not forget corticosteroids

Acute renal failure (ARF) is a rare complication of acute pyelonephritis in adult immunocompetent patients. Recovery of renal function usually occurs if antibiotics are promptly initiated. However, long-term consequences of renal scarring due to acute pyelonephritis are probably underestimated, and...

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Bibliographic Details
Main Authors: Sqalli Tarik, Hamzaoui Hakim, Guiard Elsa, Noel Laure-Helene, Fakhouri Fadi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2010-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2010;volume=21;issue=1;spage=118;epage=122;aulast=Sqalli
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Summary:Acute renal failure (ARF) is a rare complication of acute pyelonephritis in adult immunocompetent patients. Recovery of renal function usually occurs if antibiotics are promptly initiated. However, long-term consequences of renal scarring due to acute pyelonephritis are probably underestimated, and some patients present with prolonged renal failure despite adequate antibiotic therapy. We report two cases of severe ARF complicating bacterial pyelonephritis successfully treated with corticosteroids in association with conventional antibiotics.
ISSN:1319-2442