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Renal abscess after the Fontan procedure: a case report
Anurag Mehrotra1, Pallavi Khanna, Suresh Kumar
1Department of Nephrology, Madras Medical Mission, Chennai, India. mehrotra.anurag@gmail.com.
Journal of Medical Case Reports
|March 1, 2014
Summary
A renal abscess, a rare complication, occurred in a patient nine years after Fontan surgery. Early diagnosis of kidney infections is crucial to prevent nephrectomy in Fontan physiology patients.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Nephrology
Background:
- The Fontan procedure corrects single ventricle physiology.
- Long-term complications of Fontan physiology are known but renal abscess is unreported.
- Awareness of long-term outcomes is crucial as the first adult generation undergoes the procedure.
Purpose of the Study:
- To report a case of renal abscess in a post-Fontan patient.
- To highlight the importance of recognizing renal abscess as a potential complication.
- To emphasize early diagnosis and treatment to prevent nephrectomy.
Main Methods:
- Case report of a 22-year-old male with a staphylococcal renal abscess.
- History of Fontan surgery nine years prior.
- Presented with prolonged fever; diagnosed with renal abscess via ultrasound and CT; treated with antibiotics and nephrectomy.
Main Results:
- A 22-year-old male developed a staphylococcal renal abscess and xanthogranulomatous pyelonephritis.
- The condition occurred nine years after Fontan surgery.
- Despite antibiotic treatment, a left nephrectomy was required due to abscess non-resolution.
Conclusions:
- Renal abscess is a possible complication in post-Fontan procedure patients.
- Early diagnosis of renal infection is vital.
- Prompt intervention may prevent the need for nephrectomy.
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