Renal abscess: Early diagnosis and treatment

Yen, David Hung-Tsang; Hu, Sheng-Chuan; Tsai, Jui Chen; Kao, Wei Fong; Chern, Chorng–Shyan; Wang, Lee-Min; Lee, Chen‐Hsen

doi:10.1016/s0735-6757(99)90060-8

Cited by 69 publications

(76 citation statements)

References 27 publications

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“…For small abscesses (size ≤3 cm), successful medical treatment has been reported in a few cases [22,23]. Abscess size, obstructive uropathy, severe vesicoureteral reflux, gas-producing bacteria, DM, and old age have been associated with poor response to medical treatment [24,25]. In one study comprising of 65 patients, medical treatment alone was performed in only 9% and associated mortality rate reached 33% [26].…”

Section: Discussionmentioning

confidence: 99%

Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage

Peña-Garcia

Shaikh

Lacasse

2018

Journal of Community Hospital Internal Medicine Perspectives

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Group B streptococcus infections (GBSI) are commonly associated with neonates and pregnant women, but may also affect nonpregnant adults. Among its spectrum of manifestations, perinephric abscess (PA) is exceedingly rare. Comorbid conditions such as diabetes mellitus (DM) and immunosuppression increase the risk of GBSI. We describe a 61-year-old Vietnamese man with compensated alcoholic cirrhosis, who presented with acute encephalopathy following subacute, progressive abdominal pain. He was afebrile and hemodynamically stable. Laboratory data were remarkable for leukocytosis, thrombocytopenia, azotemia, and pyuria. He was found to have two right-sided PA measuring 15 × 10 × 11 cm and 4.6 × 2.7 × 7.8 cm, requiring interval placement of multiple percutaneous drains. Culture from abscesses revealed beta-hemolytic Group B streptococcus (GBS). His course was complicated by contiguous spread to abdominal wall and paraspinal musculature, as well as a new diagnosis of type 2 DM. Along with drainage, a prolonged course of intravenous antimicrobial treatment led to abscess resolution. Given the rising number of unusual clinical presentations of GBSI, this bacteria should be considered as a part of the microbiological differential diagnosis of PA, especially in conditions leading to immunosuppression.

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Section: Discussionmentioning

confidence: 99%

Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage

Peña-Garcia

Shaikh

Lacasse

2018

Journal of Community Hospital Internal Medicine Perspectives

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“…There are several reports on etiology, clinical characteristics and treatment modalities for patients with renal and perirenal abscesses in the literature. Diabetes, urolithiasis, obstructive uropathy, previous urological instrumentation/surgery, immunosupression and kidney biopsy are accepted as risk factors for the development of renal and perirenal abscesses (1)(2)(3)(4)6). Most of the organisms responsible for renal and perirenal abscesses are gram negative, positive and anaerobic bacteria (E. coli, K. pneumonia, P. miribalis, S. aureus, B. fragilis).…”

Section: Discussionmentioning

confidence: 99%

“…Renal and perirenal abscesses are rare but potentially lethal complications of urinary tract infection (1,2). A delay in diagnosis may lead to morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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An Unusual Cause of Renal and Perirenal Abscesses: Candida albicans

Piskinpasa¹,

Akoglu²,

Ozkayar³

et al. 2014

Turk Neph Dial Transpl

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“…Predisposing factors include diabetes mellitus and urinary tract abnormalities such as urinary tract calculi, vesicoureteral reflux, neurogenic bladder, obstructive tumor, benign cyst or polycystic kidney disease [2][3][4][5][6]. The infecting bacteria are usually gram negative enteric bacilli but are occasionally gram positive cocci when the infection is of hematogenous origin.…”

Section: Introductionmentioning

confidence: 99%

Candida Glabrata Perinephric Abscess

Balkan

Savas

Gedük

et al. 2011

EAJM

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Perinephric abscess is a rare complication of urinary tract infections, and the etiology is usually a gram negative bacillus. We report a case of Candida glabrata perinephric abscess in a patient with diabetes mellitus who had a recent episode of pyelonephritis that was treated with antibiotics. Percutaneous drainage and fluconazole treatment led to resolution of the infection. Yeast perinephric abscess should be considered when symptoms of acute or chronic urinary tract infection occur in elderly and diabetic patients, especially patients who are unresponsive to antibacterial therapy. The clinical course is sometimes insidious. Imaging (contrast-enhanced CT or MRI) is required for diagnosis, and drainage is indicated for successful therapy. Adjuvant antifungal treatment is recommended based on the results of antifungal susceptibility tests.

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Renal abscess: Early diagnosis and treatment

Cited by 69 publications

References 27 publications

Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage

Invasive Group B streptococcus: multiloculated perinephric abscesses treated with percutaneous drainage

An Unusual Cause of Renal and Perirenal Abscesses: Candida albicans

Candida Glabrata Perinephric Abscess

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