Renal Abscess in Previously Healthy Girl

Pieretti, Rafael V.; Pieretti-Vanmarcke, Rafael; Pieretti, Alberto

doi:10.1016/j.urology.2008.07.044

Cited by 10 publications

(7 citation statements)

References 7 publications

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“…1,2 Some experts suggest staged management with an initial trial of intravenous antibiotics alone, 6,9,10 although others favor a more aggressive management. 11 Clinical response may be noted within 48 to 72 hours. 1 In our study, 89% of the patients who received intravenous antibiotics alone as an initial treatment regimen did not require percutaneous drainage or surgery.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Renal Abscess: A 10-year Single-Center Retrospective Analysis

Seguias

Srinivasan

Mehta

2012

Hospital Pediatrics

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Section: Discussionmentioning

confidence: 99%

Pediatric Renal Abscess: A 10-year Single-Center Retrospective Analysis

Seguias

Srinivasan

Mehta

2012

Hospital Pediatrics

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“…The commonly reported symptoms in children with renal abscess are fever, flank pain and abdominal pain [1,7,8,12,14,15]. Pain can be referred to the back, periumbilical area or hip and may be confused with appendicitis or peritonitis.…”

Section: Discussionmentioning

confidence: 99%

Bilateral renal abscess in a previously healthy 11-year-old girl

Chaudhry¹,

Bolt

2010

Eur J Pediatr

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Renal abscesses are infrequently encountered in children. We describe a girl diagnosed with bilateral renal abscess. Although ultrasonography and computerised tomography are used to establish the diagnosis, in our case magnetic resonance imaging proved to be a useful additional diagnostic method. Using percutaneous aspiration, we were able to establish the correct diagnosis and identify the causative micro-organism. The patient was successfully treated with a combined intravenous and oral course of antibiotics. In conclusion, renal abscesses can occur in children without a history of reflux or urinary tract infection; this should be kept in mind when evaluating a child with fever. In addition, full recovery can be achieved solely with antibiotics.

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“…Some suggest abscesses larger than 3 cm may need percutaneous or surgical drainage. 5 Early drainage is also recommended in immunocompromised hosts. If specimens are collected, cultures for aerobic and anaerobic bacteria, fungi, and mycobacteria should be sent.…”

Section: 2mentioning

confidence: 99%

Fever and Renal Mass in a Young Child

Srinivasan

Seguias

2011

Pediatr Ann

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A 22-month-old African refugee male was referred to our emergency department by his pediatrician for prolonged fever. He was previously healthy and had just moved from Tanzania to Dallas, TX, 9 months before presentation. He had intermittent high fevers to 103°F, along with chills and night sweats for 7 days. Upper respiratory symptoms, including nasal congestion and cough, were noted for a few days. Review of systems was negative for localized pain, irritability, skin rash, conjunctivitis, dysuria, or choluria. He was still catching up with immunizations.His emergency department (ED) physical assessment revealed a febrile, well-nourished child who appeared non-toxic. Tympanic membranes and oropharynx were clear, and there was no conjunctivitis. Cardiovascular and pulmonary examinations were unremarkable.Abdomen was negative for hepatosplenomegaly or masses. No rashes or peripheral edema were present. Neurologic evaluation was normal.Initial ED diagnostic workup included a hemogram that showed marked leukocytosis with neutrophilia (WBC: 36,100/mm 3 and ANC: 20,700/mm 3 ) and normocytic, hypochromic anemia (hemoglobin 9.1 g/dL, MCV 64 and MCH 21). Urinalysis and chest X-ray were normal. He was admitted for further evaluation of his fever.As an inpatient, testing included a viral respiratory panel, malaria smear, urine culture, blood culture, PPD, and HIV, all of which were negative. Because of the patient's persistent high fevers, an abdominal ultrasound was obtained to rule out an occult abscess or malignant mass. The ultrasound revealed a 4.7 x 3.8 x 5.5 cm complex, hypovascular left renal mass.

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Renal Abscess in Previously Healthy Girl

Cited by 10 publications

References 7 publications

Pediatric Renal Abscess: A 10-year Single-Center Retrospective Analysis

Pediatric Renal Abscess: A 10-year Single-Center Retrospective Analysis

Bilateral renal abscess in a previously healthy 11-year-old girl

Fever and Renal Mass in a Young Child

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