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KMID : 0811820140180010042
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Journal of Korean Society of Pediatric Nephrology
2014 Volume.18 No. 1 p.42 ~ p.46
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An 8-month-old Male Infant with High Grade Vesicoureteral Reflux who Developed Incomplete Kawasaki disease after Recurrent Pyelonephritis
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Jung Su-Jin
Park Sung-Eun
Lee Jun-Ho
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Abstract
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Kawasaki disease (KD) is a systemic vasculitis that can affect many organ systems.
Renal manifestations include pyuria, hematuria, proteinuria, tubulointerstitialnephritis, acute renal failure, hemolytic uremic syndrome, or renal scarring. Althoughits precise pathogenesis remains unknown, it is considered an autoimmunedisease.
In the literature, it has been reported that KD may develop in conjunction withurinary tract infections. However, many of these previous studies did not useimaging methods such as renal sonograms, dimercaptosuccinic acid renal scans,and voiding urethrocystograms. We report a case of an 8-month old male infantwith high grade vesicoureteral reflux, who developed incomplete KD afterrecurrent pyelonephritis. Acute pyelonephritis can be an early manifestation ofKD. Such cases require the evaluation of urinary tract anomalies according tothe guidelines for the management of urinary tract infections.
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KEYWORD
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Kawasaki disease, Pyelonephritis, Urinary tract infection, Vesicoureteral reflux
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