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Related Experiment Videos

[Renal and perirenal abscess].

E López Alcina1, S Arlandis Guzmán, J J Monserrat Monfort

  • 1Servicio de Urología, Hospital La Fe, Valencia.

Actas Urologicas Espanolas
|May 18, 1999
PubMed
Summary
This summary is machine-generated.

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Renal and perirenal abscesses, once linked to Staphylococcus aureus, are now predominantly caused by E. coli. Diagnosis relies on CT scans, with ultrasound guiding interventions and follow-up.

Area of Science:

  • Urology
  • Infectious Diseases
  • Radiology

Context:

  • Renal and perirenal abscesses are rare urinary tract infections.
  • Historically, Staphylococcus aureus was the primary causative agent.
  • Recent trends show a predominance of coliform bacteria, particularly E. coli.

Purpose:

  • To review a decade of experience with renal and perirenal abscesses (1987-1996).
  • To analyze changes in etiopathogenesis, diagnosis, and treatment.
  • To compare findings with recent literature.

Summary:

  • Eleven cases (3 renal, 8 perinephritic) were analyzed.
  • Back pain was the most common symptom; all patients had predisposing conditions.
  • E. coli was the most frequent pathogen; one case involved Aspergillus fumigatus in an HIV+ patient.

Related Experiment Videos

  • CT was the most specific diagnostic imaging modality.
  • Ultrasound aided in percutaneous puncture and post-treatment follow-up.
  • Treatment varied from antibiotics alone to percutaneous drainage and surgery.

    • Impact:

    • Highlights the shift in causative pathogens for renal and perirenal abscesses.
    • Emphasizes the importance of advanced imaging (CT, ultrasound) in diagnosis and management.
    • Demonstrates the evolution of therapeutic strategies, including minimally invasive techniques.