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소아의 요로감염에 동반되어 생기는 간의 염증성 결절에 관 해서는 잘 알려져 있지 않다. 최근 요로감염으로 내원한 두 명 의 소아의 간 초음파에서 저에코의 다발성 또는 고에코의 단독 결절로 보였던 염증성 간결절들의 증례를 MRI 소견과 함께 보 고하고자 한다. 모두 고열을 주소로 내원하였고 요배양검사에 서 클레브시엘라, 연쇄구균, 대장균 등이 검출되었다. 2예 모두 항생제 치료후 추적검사로 시행한 간 초음파 검사에서 크기 감 소를 보이며 호전되었다.


Inflammatory nodule in the liver associated with acute urinary infection is an uncommon presentation. We recently experienced two pediatric patients, admitted for urinary tract infection, in whom a solitary hyperechoic nodule or multiple low echoic nodules in the liver were incidentally discovered. All patients complained of fever, and urine culture results were positive for Klebsiella, Streptococcus, and Escherichia coli. After receiving treatment with antibiotics, the hepatic nodules gradually decreased in size and completely disappeared.


Inflammatory nodule in the liver associated with acute urinary infection is an uncommon presentation. We recently experienced two pediatric patients, admitted for urinary tract infection, in whom a solitary hyperechoic nodule or multiple low echoic nodules in the liver were incidentally discovered. All patients complained of fever, and urine culture results were positive for Klebsiella, Streptococcus, and Escherichia coli. After receiving treatment with antibiotics, the hepatic nodules gradually decreased in size and completely disappeared.