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[Renal carbuncle and perirenal abscess in children and adolescents]

J-O Steiß1, N Hamscho, M Durschnabel

  • 1Zentrum für Kinderheilkunde und Jugendmedizin, Allgemeine Pädiatrie und Neonatologie, Universitätsklinikum Gießen und Marburg GmbH, Standort Gießen, Justus-Liebig-Universität Gießen, Feulgenstraße 12, 35385, Gießen, Deutschland, Jens-Oliver.Steiss@paediat.med.uni-giessen.de.

Der Urologe. Ausg. A
|September 6, 2014
PubMed

Insights

Pediatric renal abscesses present with vague symptoms, complicating diagnosis. Prompt antibiotic therapy and percutaneous drainage are often effective, with surgery rarely needed for these rare childhood kidney infections.

Area of Science:

  • Pediatric Nephrology
  • Infectious Diseases in Children
  • Urologic Surgery

Context:

  • Renal abscesses are uncommon in pediatric populations.
  • Diagnosis is challenging due to non-specific symptoms and absence of typical urinary tract infection signs.
  • Imaging modalities are crucial but sometimes diagnosis is delayed until intraoperative findings.

Purpose:

  • To review the diagnostic challenges and therapeutic strategies for pediatric renal abscesses.
  • To emphasize the importance of early and appropriate management in children.

Summary:

  • Most pediatric renal abscesses are successfully treated with intravenous antibiotics effective against staphylococci.
  • Percutaneous abscess drainage can supplement antibiotic therapy when necessary.
  • Surgical intervention, including open revision or nephrectomy, is infrequently required.

Impact:

  • Highlights the effectiveness of conservative management for pediatric renal abscesses.
  • Informs clinicians on optimal diagnostic and therapeutic pathways, potentially reducing invasive procedures.
  • Contributes to understanding the management of rare pediatric kidney infections.

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