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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2010  |  Volume : 21  |  Issue : 1  |  Page : 118-122
Severe renal failure in acute bacterial pyelonephritis: Do not forget corticosteroids


Department of Nephrology, AP-HP, Hopital Necker, Universite Paris V, Paris, France

Correspondence Address:
Tarik Houssaini Sqalli
Lotissement Oulladia II, No B13 Km 8, Souissi, Rabat, Morocco

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PMID: 20061705

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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.


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