Acute Lobar Nephronia: A Case Report and Literature Review

Conley, Sean P.; Frumkin, Kenneth

doi:10.1016/j.jemermed.2013.08.097

Cited by 16 publications

(24 citation statements)

References 8 publications

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“…However localizing features such as abdominal or flank pain may not always be present [7]. The present case of acute lobar nephronia had non-specific symptoms and diagnosis was directed to the urinary tract with the positive microbiological findings in the urine and blood culture.…”

Section: Discussionmentioning

confidence: 70%

“…Many of the published cases of this condition have been in the pediatric population and relatively scarce in adults [3,5]. Most of the reported cases of acute lobar nephronia in adults have involved E. coli as the causative organism [4,7]. To our knowledge, this is the first reported case of acute lobar nephronia involving E. cloacae.…”

Section: Discussionmentioning

confidence: 88%

“…Diagnosis of acute lobar nephronia relies on findings on ultrasound or computed tomography (CT) imaging [7,8]. It is important to interpret the imaging findings and clinical features because acute lobar nephronia may sometimes be mistaken for a renal mass [4].…”

Section: Discussionmentioning

confidence: 99%

“…Only a few cases have been reported in adults [4,6,7]. Most cases of acute lobar nephronia are associated with Escherichia coli infection [4,7].…”

Section: Introductionmentioning

confidence: 99%

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A Case Report of Acute Lobar Nephronia Caused by Enterobacter cloacae

Yong¹,

Khow²

2016

J Emerg Infect Dis

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Acute lobar nephronia is an uncommon type of urinary tract infection affecting the kidneys and more commonly reported in the pediatrics population. It can be a precursor to renal abscess formation if undertreated. Escherichia coli is the commonest pathogen observed in adults with this condition but other organisms have also been reported. This case report describes a 65-year-old woman whose work-up for fever, nausea and vomiting led to the diagnosis of acute lobar nephronia caused by Enterobacter cloacae. The acute lobar nephronia was identified on ultrasound of the kidneys. She was successfully treated with intravenous gentamicin followed by oral ciprofloxacin. Repeat ultrasound showed resolution of the nephronia. This case highlights the need for clinicians to be aware of this condition and ensure appropriate antibiotic treatment to prevent progression into a renal abscess.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“…Only a few cases have been reported in adults [4,6,7]. Most cases of acute lobar nephronia are associated with Escherichia coli infection [4,7].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A Case Report of Acute Lobar Nephronia Caused by Enterobacter cloacae

Yong¹,

Khow²

2016

J Emerg Infect Dis

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show abstract

“…Symptoms suggestive of upper urinary tract infections, including fever, chills, flank pain and abdominal pain are the main symptoms; however, pyuria is absent in 23% AFBN cases,3 and AFBN is hypothesised to be a localised lobar renal parenchymal infection 4. Contrast CT, the gold standard for diagnosis, typically shows a poorly defined, striated or wedge-shaped lesion with decreased enhancement 5.…”

Section: Answer: Bmentioning

confidence: 99%