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Yeast perinephric abscess: report of a case and review

K P High1, V J Quagliarello

  • 1Department of Medicine, Yale University School of Medicine, New Haven, Connecticut 06510.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|July 1, 1992
PubMed

Insights

Yeast perinephric abscess is a rare infection primarily affecting patients with diabetes, recent surgery, or urinary obstruction. Prompt drainage is key to successful treatment, with no deaths directly attributed to this infection in the reviewed cases.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Mycology

Background:

  • Yeast perinephric abscess is an uncommon renal infection.
  • It primarily affects immunocompromised individuals or those with predisposing factors.

Observation:

  • This report details a case of yeast perinephric abscess and reviews 11 prior cases.
  • Patients often present with subacute or chronic, nonspecific symptoms.
  • Common predisposing factors include diabetes mellitus, recent surgery, and urinary tract obstruction.

Findings:

  • Candida and Torulopsis species are the identified causative agents.
  • Effective treatment typically involves percutaneous or surgical drainage of the abscess.
  • The overall mortality rate is 25%, but no deaths in this series were directly linked to the perinephric infection.

Implications:

  • Early recognition and intervention are crucial for managing yeast perinephric abscess.
  • Understanding risk factors aids in identifying susceptible patient populations.
  • Drainage remains the cornerstone of successful therapeutic strategies for this rare condition.

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