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Published on: July 18, 2017
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.
Abstract:
Among the various intraabdominal abscesses, renal abscess is a rare entity, especially in children and accounts for a number of cases of "missed diagnoses." Drainage of pus and appropriate antibiotic therapy is the gold standard for treatment. Here we report a case of left renal abscess in a 6-year-old female child secondary to renal calculus. The patient presented with abdominal pain and mild fever for three months and the diagnosis was made by X-ray in the kidney, ureter and bladder (KUB) region, intravenous pyelography and ultrasonography of the abdomen. Escherichia coli was isolated from pus obtained by percutaneous drainage under sonographic guidance. The patient responded to intra-venous ceftriaxone, amikacin, and percutaneous drainage.
Related Concept Videos
Bacterial Gastroenteritis
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Acute Pyelonephritis II: Diagnostic Studies and Management
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