Renal abscess due to Escherichia coli in a child

V P Baradkar1, M Mathur, S Kumar

  • 1Department of Microbiology, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, India. vasantbaradkar@yahoo.com

Insights

This case study highlights a rare renal abscess in a child, often missed. Prompt diagnosis and treatment with percutaneous drainage and antibiotics are crucial for successful outcomes in pediatric renal abscess cases.

Area of Science:

  • Pediatric Nephrology
  • Urology
  • Infectious Diseases

Background:

  • Renal abscesses are uncommon intra-abdominal infections, particularly in pediatric patients.
  • Often presenting as
  • missed diagnoses,
  • they require prompt recognition and management.

Observation:

  • A 6-year-old female child presented with a three-month history of abdominal pain and mild fever.
  • Diagnostic imaging, including KUB X-ray, intravenous pyelography, and abdominal ultrasonography, confirmed a left renal abscess secondary to a renal calculus.

Findings:

  • Percutaneous drainage of the renal abscess yielded Escherichia coli.
  • The patient received intravenous antibiotics (ceftriaxone and amikacin) and underwent successful percutaneous drainage.

Implications:

  • This case underscores the importance of considering renal abscess in children with prolonged abdominal pain and fever.
  • Early diagnosis via imaging and effective treatment involving percutaneous drainage and targeted antibiotics are key to managing pediatric renal abscesses.

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