Abstract
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.
MeSH terms
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Acute Disease
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Acute Kidney Injury / drug therapy*
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Acute Kidney Injury / microbiology
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Acute Kidney Injury / pathology
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Adrenal Cortex Hormones / therapeutic use*
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Aged, 80 and over
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Anti-Bacterial Agents / therapeutic use*
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Drug Therapy, Combination
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Escherichia coli / isolation & purification
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Female
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Humans
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Male
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Middle Aged
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Proteus mirabilis / isolation & purification
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Pyelonephritis / complications
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Pyelonephritis / drug therapy*
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Pyelonephritis / microbiology
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Pyelonephritis / pathology
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Severity of Illness Index
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Treatment Outcome
Substances
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Adrenal Cortex Hormones
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Anti-Bacterial Agents