Author/Authors :
Hamzaoui, Hakim Universite Paris V - Hopital Necker - Department of Nephrology, France , Al Aseri, Zohair A Universite Paris V - Hopital Necker - Department of Nephrology, France , Houssaini Sqalli, Tarik Universite Paris V - Hopital Necker - Department of Nephrology, France , Guiard, Elsa Universite Paris V - Hopital Necker - Department of Nephrology, France
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.