Abstract

SYMMETRICAL cortical necrosis of the kidneys has been regarded as uncommon at any age. Until recently only about 100 cases have been published. 1 The occurrence of symmetrical cortical necrosis of the kidneys in infants was unknown until 1949, when Campbell and Henderson 2 described two instances, one in a 5 month old infant, the other in a 9 week old infant. Originally the disturbance was thought to be a specific complication of pregnancy, but it is now clear that it can occur in either sex at any age. According to the comprehensive review by Duff and Murray, 1 the etiology of symmetrical cortical necrosis is varied. Of the cases in which pregnancy was not a factor, the majority seem to have been associated with acute infection, such as diphtheria, scarlet fever, pneumonia or malaria. Poisoning with a variety of substances, shock following trauma, extreme dehydration and purpura have also

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