Megalocytic interstitial nephritis following acute pyelonephritis with Escherichia coli bacteremia: a case report.
Hee Jin KwonKwai Han YooIn Young KimGhee Young KwonHye Ryoun JangGhee Young KwonPublished in: Journal of Korean medical science (2014)
Megalocytic interstitial nephritis is a rare form of kidney disease caused by chronic inflammation. We report a case of megalocytic interstitial nephritis occurring in a 45-yrold woman who presented with oliguric acute kidney injury and acute pyelonephritis accompanied by Escherichia coli bacteremia. Her renal function was not recovered despite adequate duration of susceptible antibiotic treatment, accompanied by negative conversion of bacteremia and bacteriuria. Kidney biopsy revealed an infiltration of numerous histiocytes without Michaelis-Gutmann bodies. The patient's renal function was markedly improved after short-term treatment with high-dose steroid.
Keyphrases
- escherichia coli
- high dose
- acute kidney injury
- liver failure
- drug induced
- oxidative stress
- case report
- gram negative
- respiratory failure
- low dose
- cardiac surgery
- pseudomonas aeruginosa
- staphylococcus aureus
- combination therapy
- ultrasound guided
- hepatitis b virus
- klebsiella pneumoniae
- single cell
- fine needle aspiration
- candida albicans