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Renal and perirenal abscesses.

J E Patterson1, V T Andriole

  • 1Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.

Infectious Disease Clinics of North America
|December 1, 1987
PubMed
Summary
This summary is machine-generated.

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Advances in radiology have expanded the understanding of renal abscesses. New classifications and imaging techniques aid in diagnosing and treating these kidney infections, with antibiotics often sufficient for intrarenal types.

Area of Science:

  • Nephrology
  • Radiology
  • Infectious Diseases

Background:

  • Radiologic techniques have improved our understanding of renal abscesses.
  • The classification of intrarenal abscesses has expanded.
  • Clinical presentation often fails to differentiate between types of renal abscesses.

Purpose of the Study:

  • To review the spectrum of renal abscesses.
  • To discuss the updated classification of intrarenal abscesses.
  • To outline diagnostic and treatment strategies for renal abscesses.

Main Methods:

  • Review of current literature on renal abscesses.
  • Analysis of radiologic findings for classification.
  • Discussion of treatment modalities based on abscess type.

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Main Results:

  • Updated classification includes acute focal bacterial nephritis, acute multifocal bacterial nephritis, renal cortical abscess, renal corticomedullary abscess, and xanthogranulomatous pyelonephritis.
  • Radiographic studies are crucial for differentiating intrarenal abscesses.
  • Intrarenal abscesses typically respond to antibiotic therapy.
  • Renal cortical abscesses require antistaphylococcal therapy.
  • Other intrarenal abscesses often necessitate treatment for gram-negative uropathogens.
  • Perinephric abscesses present diagnostic and therapeutic challenges, often requiring drainage and potentially nephrectomy.

Conclusions:

  • Enhanced radiologic techniques have refined the classification and diagnosis of renal abscesses.
  • Differentiated treatment strategies exist for various intrarenal abscesses.
  • Perinephric abscesses require aggressive management, including drainage and possible surgery.