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Renal and Perinephric Abscesses Revisited
R S Rai1, S C Karan2, A Kayastha3
1Classified Specialist (Surgery & Urology), Command Hospital (Northern Command), C/O 56 APO.
Background:
This study was carried out to assess the spectrum of renal and perinephric space infection among urology patients admitted in the last three years.
Methods:
Medical records of patients with renal and perinephric abscess and emphysematous pyelonephritis were reviewed.
Results:
Out of 2278 patients admitted in last three years, 29 (1.2%) patients suffered from renal and perinephric space infection, 13 (45%) patients had renal abscess, 11 (38%) perinephric abscess and five (17%) emphysematous pyelonephritis. Sixteen (55%) patients recovered conservatively, nine (31%) patients required percutaneous drainage of the abscesses and remaining four (14%) underwent surgical exploration. The overall mortality was 14% in this study.
Conclusion:
Renal and perinephric space infection continues to be a serious urological problem with high mortality rate. A high index of suspicion, prompt diagnosis, appropriate antibiotics and surgical intervention may be effective in reducing mortality.
Insights
Renal and perinephric space infections are serious urological issues. Prompt diagnosis and treatment, including antibiotics and surgery, are crucial for reducing the high mortality associated with these infections.
Area of Science:
- Urology
- Infectious Diseases
Background:
- Assesses the spectrum of renal and perinephric space infections in urology patients.
- Reviews infections over a three-year period.
Purpose of the Study:
- To evaluate the incidence and characteristics of renal and perinephric space infections.
- To determine the outcomes and mortality rates associated with these infections.
Main Methods:
- Retrospective review of medical records.
- Analysis of patients diagnosed with renal abscess, perinephric abscess, or emphysematous pyelonephritis.
Main Results:
- 1.2% of admitted patients had renal and perinephric space infections (29/2278).
- Common diagnoses included renal abscess (45%), perinephric abscess (38%), and emphysematous pyelonephritis (17%).
- Mortality rate was 14%, with conservative management (55%), percutaneous drainage (31%), and surgery (14%) used for treatment.
Conclusions:
- Renal and perinephric space infections remain significant urological challenges with high mortality.
- Early detection, prompt antibiotic therapy, and timely surgical intervention are vital for improving patient outcomes.
- Maintaining a high index of suspicion is key for effective management.
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