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Renal subcapsular abscess.

Y Ramesh Bhat1

  • 1Department of Pediatrics, Kasturba Medical College, Manipal 576 104, Karnataka, India. docrameshbhat@yahoo.co.in

Indian Pediatrics
|August 9, 2007
PubMed
Summary
This summary is machine-generated.

A neonate with fever and abdominal distension was diagnosed with a renal subcapsular abscess. Treatment involved percutaneous drainage, yielding Staphylococcus aureus, highlighting a rare pediatric infection.

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Area of Science:

  • Pediatric Infectious Diseases
  • Medical Imaging in Neonates
  • Surgical Interventions for Abscesses

Background:

  • Neonatal infections pose significant risks.
  • Renal subcapsular abscesses are uncommon in neonates.
  • Early diagnosis and intervention are crucial for favorable outcomes.

Observation:

  • An 18-day-old neonate presented with fever and abdominal distension.
  • Diagnostic imaging, including sonography and CT scan, revealed a renal subcapsular abscess.
  • Clinical presentation suggested a serious intra-abdominal or renal pathology.

Findings:

  • Percutaneous drainage successfully aspirated 20 mL of purulent fluid.
  • Cultures of the aspirated pus identified Staphylococcus aureus as the causative pathogen.

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  • The abscess was localized to the subcapsular space of the kidney.

    • Implications:

    • This case underscores the importance of considering renal subcapsular abscess in neonates with abdominal symptoms.
    • Staphylococcus aureus can cause severe localized infections in the neonatal population.
    • Effective management involves prompt diagnosis via imaging and appropriate antimicrobial therapy and drainage.