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Renal abscess due to Pseudomonas aeruginosa: report of two cases
S Bampala1, K Kollios, C Antachopoulos
1Third Department of Pediatrics, Aristotle University, Hippokration Hospital, Thessaloniki, Greece. roilides@med.auth.gr
Insights
Two previously healthy children developed kidney abscesses caused by Pseudomonas aeruginosa. Both were successfully treated with antibiotics, avoiding surgery and preserving renal function.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Medical Imaging
Background:
- Renal abscesses are uncommon in otherwise healthy children.
- Pseudomonas aeruginosa is a potential pathogen in urinary tract infections.
Abstract:
We report two cases of renal abscess due to Pseudomonas aeruginosa in previously healthy children. The first patient was a nine-year old girl with a three-week history of intermittent fever and the second was a three-year old boy with a four-day history of fever. Pseudomonas aeruginosa was isolated from the urine cultures of both children. In both cases ultrasound and CT/MRI scans revealed the formation of a renal abscess. The patients were successfully treated with administration of antipseudomonal drugs for seven and five weeks, respectively. In both children no surgical intervention was required and the follow-up revealed no impact on the overall renal function or arterial pressure.
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