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Intrarenal gas abscess.

S K Sharma, A Kumar, B K Sharma

The Journal of Urology

|November 1, 1986

Summary

This summary is machine-generated.

Gas-forming gram-negative bacteria causing intrarenal abscesses are rare, typically affecting females or those with urinary issues. This case highlights a successful treatment in a non-diabetic male with Pseudomonas aeruginosa infection.

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Area of Science:

Nephrology
Infectious Diseases
Urology

Background:

Intrarenal abscesses are uncommon infections within the kidney parenchyma.
Gas-forming gram-negative bacteria are a rare but serious cause of intrarenal abscesses.
Typical risk factors include female sex, diabetes, urinary calculi, and obstructive uropathy.

Observation:

This report details a case of intrarenal abscess in a non-diabetic male patient.
The causative agent identified was Pseudomonas aeruginosa, a gram-negative bacterium.
The patient did not present with common predisposing factors like diabetes or urinary obstruction.

Findings:

The patient received initial medical management for the infection.
A subsequent partial nephrectomy was performed to address the abscess.

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Both interventions contributed to the successful cure of the intrarenal abscess.

Implications:

This case expands the understanding of risk factors for intrarenal abscesses, demonstrating it can occur in non-diabetic males without typical uropathic conditions.
It underscores the importance of considering Pseudomonas aeruginosa in the differential diagnosis of intrarenal abscesses, even in atypical patient profiles.
The successful outcome highlights the efficacy of a combined approach of medical management and surgical intervention (partial nephrectomy) for treating complex intrarenal abscesses.