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Renal abscess.

N P Jaik1, K Sajuitha, Milly Mathew

  • 1Sri Ramachandra Medical College and Research Institute, Porur, Chennai 600 116, India.

The Journal of the Association of Physicians of India
|June 28, 2006
PubMed
Summary
This summary is machine-generated.

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This study examined renal abscess cases, finding high fever and flank pain are common symptoms. Early diagnosis via imaging and prompt antibiotic treatment are crucial, though complicated cases, especially in immunocompromised patients, carry a high mortality risk.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Radiology

Background:

  • Renal abscess is a serious condition requiring prompt diagnosis and management.
  • Understanding predisposing factors, diagnostic tools, and treatment outcomes is vital for improving patient care.

Observation:

  • Seven cases of renal abscess were analyzed.
  • Common presenting symptoms included high fever and flank pain.
  • Ultrasound (USG) and Computed Tomography (CT) were the primary diagnostic imaging modalities.

Findings:

  • Urine cultures identified causative organisms in five patients, guiding empirical antibiotic therapy.
  • Empirical antibiotic treatment was primarily directed against Gram-negative organisms.
  • Complicated renal abscesses were associated with high mortality rates, particularly in immunocompromised and cachectic individuals.

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Implications:

  • Early and accurate diagnosis using imaging techniques like USG and CT is essential.
  • Appropriate antibiotic selection based on likely pathogens is critical for effective treatment.
  • Prognostic factors, especially host immune status, significantly influence patient outcomes and survival in renal abscess cases.