Acute lobar nephritis in children: Not so easy to recognize and manage

作     者：Cristina Bibalo Andrea Apicella Veronica Guastalla Pierluigi Marzuillo Floriana Zennaro Carmela Tringali Andrea Taddio Claudio Germani Egidio Barbi 

作者机构：Depart-ment of Pediatrics University of Trieste Department of Womenand Children and General and Specialized Surgery Seconda Università degli Studi di Napoli Institute for Maternal and Child Health - IRCCS "Burlo Garofolo" Pediatric Ward Ospedale di San Daniele San Daniele del Friuli 

出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)

年 卷 期：2016年第5卷第1期

页      面：136-142页

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 100207[医学-影像医学与核医学] 1002[医学-临床医学] 08[工学] 1010[医学-医学技术（可授医学、理学学位）] 100202[医学-儿科学] 10[医学] 

主　　题：Acute lobar nephritis Children Computed tomography Magnetic resonance imagine Upper urinary tract infection 

摘      要：Acute lobar nephritis(ALN) is a localized non-liquefactive inflammatory renal bacterial infection, which typically involves one or more lobes. ALN is considered to be a midpoint in the spectrum of upper urinary tract infection, a spectrum ranging from uncomplicated pyelonephritis to intrarenal abscess. This condition may be difficult to recognize due to the lack of specific symptoms and laboratory findings. Therefore the disease is probably underdiagnosed. Computed tomography scanning represents the diagnostic gold standard for ALN, but magnetic resonance imagine could be considered in order to limit irradiation. The diagnosis is relevant since initial intravenous antibiotic therapy and overall length of treatment should not be shorter than 3 wk. We review the literature and analyze the ALN clinical presentation starting from four cases with the aim to give to the clinicians the elements to suspect and recognize the ALN in children.