Abstract：
Acute focal bacterial nephritis (AFBN) is a kidney disease characterized by a localized bacterial infection that manifests as an inflammatory mass. Most children with AFBN have nonspecific symptoms including fever, vomiting, and abdominal discomfort, and some develop neurological symptoms such as meningeal irritation, unconsciousness, and seizures as their condition worsens. This was 2 cases of AFBN with central nervous system manifestations in children, and we analyzed its possible mechanisms of the clinical and radiographic features. We experience 2 very unusual cases of AFBN which were linked to central nervous system abnormalities. A 6-year-old boy with AFBN and clinically moderate ncephalitis/encephalopathy with a reversible splenial lesion (MERS) presented with neurological symptoms, including unconsciousness and convulsions. The second case involved an 8-year-old child with AFBN-associated acute encephalopathy who exhibited neurological symptoms, including unconsciousness. According to previous research, AFBN is linked to central nervous system impairment. As a result, when a clinician meets a patient with an inexplicable fever caused by a neurological condition, he should pay attention to this diagnosis of AFBN and follow it in the abdominal graph.
摘要：
急性局灶性细菌性肾炎（AFBN）是一种肾脏疾病，其特征是局部细菌感染，表现为炎性肿块。大多数患有AFBN的儿童有非特异性症状，包括发烧，呕吐,腹部不适,有些会出现神经症状，如脑膜刺激，无意识,随着病情恶化，癫痫发作。这是2例AFBN伴中枢神经系统表现的儿童。我们分析了其临床和影像学特征的可能机制。我们经历了2例非常不寻常的AFBN病例，这些病例与中枢神经系统异常有关。一名患有AFBN和临床中度脑炎/脑病的6岁男孩，伴有可逆性脾病变（MERS），表现为神经系统症状，包括无意识和抽搐。第二例涉及一名8岁的AFBN相关急性脑病患儿，表现出神经系统症状，包括无意识。根据之前的研究,AFBN与中枢神经系统损伤有关。因此,当临床医生遇到由神经系统疾病引起的莫名其妙的发烧的患者时，他应该注意AFBN的诊断，并在腹部图中跟踪它。
