Korean J Nephrol.  2011 Nov;30(6):661-666.

A Perirenal Abscess Recurring with Methicillin-Resistant Staphylococcus Aureus and Mycobacterium Tuberculosis Co-Infection after Treatment of Escherichia Coli Infection: A Case Report

• Kim T
• Kang SD
• Lee HS
• Han SY
• Kwak YG
• Lee KC
• Kim HS
• Han KH

Abstract

Renal and perirenal abscesses are disease entities caused by infections in or around the kidneys. As imaging modalities have improved in quality and convenience, diagnosing these diseases has become easier. Some cases are refractory to conventional treatment and require surgical correction, although most patients can be cured by antibiotic treatment and percutaneous drainage. We here report the case of a patient with a perirenal abscess that recurred twice after appropriate antibiotic treatment and percutaneous drainage. Although Gram-negative bacilli are the most common pathogenic cause of these diseases, we isolated methicillin-resistant Staphylococcus aureus and Mycobacterium tuberculosis in our patient. Thus, poor responses to appropriate treatment in patients with a perirenal abscess can result not only from antimicrobial resistance or a co-infection but also from the 2 conditions existing concomitantly.

Keyword

Perinephritis; Abscess; Methicillin-resistant Staphylococcus aureus; Tuberculosis

MeSH Terms

Abscess
Coinfection
Drainage
Escherichia
Escherichia coli
Humans
Kidney
Methicillin Resistance
Methicillin-Resistant Staphylococcus aureus
Mycobacterium
Mycobacterium tuberculosis
Perinephritis
Tuberculosis