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[The primary purulent paranephritis in children]

A E Solovev1, G S Lazutina1, O A Kulchicki1

  • 1FGBOU VO Ryazan State Medical University of the Ministry of Health of Russia, Ryazan, Russia.

Urologiia (Moscow, Russia : 1999)
|February 12, 2019
PubMed

Insights

Acute primary purulent paranephritis in children requires surgical intervention when antibiotics fail. This rare condition was successfully treated surgically in 11 pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Nephrology
  • Infectious Diseases

Background:

  • Acute primary purulent paranephritis is a rare pediatric condition.
  • Prompt diagnosis and effective treatment are crucial for favorable outcomes.

Purpose of the Study:

  • To describe the experience of successful surgical treatment for acute primary purulent paranephritis in children.
  • To evaluate the efficacy of surgical intervention in pediatric cases.

Main Methods:

  • Retrospective analysis of 11 pediatric patients diagnosed with acute primary purulent paranephritis.
  • Utilized standard laboratory, imaging (CT, MRI), and X-ray studies for diagnosis.
  • Surgical intervention was performed in cases unresponsive to antibacterial therapy.

Main Results:

  • Surgical treatment was successful in all 11 pediatric patients.
  • Paranephritis locations included upper (2), posterior (1), anterior (2), and lower (6) moieties.
  • Patients ranged in age from 2 days to 14 years.

Conclusions:

  • Surgical intervention is a primary treatment approach for acute primary purulent paranephritis in children when antibacterial therapy is ineffective.
  • Early surgical management can lead to successful outcomes in this rare pediatric condition.

Keywords:
antibacterial therapychildrenpararenal spaceprimary purulent paranephritissurgical treatment

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