J Korean Pediatr Soc.  2000 Jul;43(7):1012-1015.

A Case of Renal Abscess in Healthy Child

Affiliations
  • 1Department of Pediatrics, College of Medicine, University of Ulsan, Ulsan, Korea.
  • 2Department of Radiology, College of Medicine, University of Ulsan, Ulsan, Korea.

Abstract

Renal abscess is rare in children and presents varying features which often lead to delay or error in diagnosis. Fever, lumbar pain, abdominal pain and occasional flank rnass are the usual presenting cornplaints but a high degree of suspicion is important for the early detection of renal abscess. Hematogenous seeding of the kidney or ascending infection from the urinary collecting system are two proposed mechanisms of renal abscess formation. Renal ultrasonography facilitates an earlier diagnosis and is also useful in establishing percutaneous drainage, which appears to be the treatment method of choice. We experienced a case of renal abscess which was treated by percutaneous aspiration and antibiotics without surgical intervention.

Keyword

Renal abscess; E. coli; Ultrasonography; Percutaneous aspiration

MeSH Terms

Abdominal Pain
Abscess*
Anti-Bacterial Agents
Child*
Diagnosis
Drainage
Fever
Humans
Kidney
Ultrasonography
Anti-Bacterial Agents
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