Acute tubular injury from toxic nephropathy presenting as bilateral renal masses in a 16-month-old child in Nigeria

Abstract

A 16-month-old child was brought by the parents on account of bilateral flank swellings of three-week duration, associated with weight loss. Abdominal imaging studies revealed bilateral renomegaly with preserved renal architecture. Renal biopsy performed showed features of acute tubular necrosis with normal glomeruli. An assessment of bilateral renomegaly with preserved architecture, probably from toxic nephropathy was made. The child made remarkable improvement.