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[Perinephritic cellulitis. Apropos of 75 cases]
S Bennani1, R Aboutaieb, M el Mrini
1Service d'Urologie, C.H.U. Averroès, Casablanca, Maroc.
Summary
Diagnosing perinephric abscess remains challenging, leading to delays and poor outcomes. Early imaging, like ultrasonography, is crucial for timely intervention in this kidney infection.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Context:
- Perinephric abscess poses significant diagnostic and therapeutic challenges despite advancements in medical technology.
- Delayed diagnosis contributes to high rates of morbidity and mortality associated with this condition.
Purpose:
- To review the etiopathogenic, diagnostic, bacteriologic, and therapeutic characteristics of perinephric abscess.
- To evaluate the effectiveness of diagnostic imaging modalities and treatment strategies for perinephric abscess.
Summary:
- This study analyzed 75 cases of perinephric abscess over 15 years, highlighting diagnostic delays exceeding one month in 75% of patients.
- Ultrasonography demonstrated high sensitivity (96%) in diagnosing perinephric abscess, with computed tomography showing potential for improved performance.
- Commonly identified pathogens include Gram-negative bacilli and Staphylococcus, with surgical drainage and antibiotic therapy being the standard treatment.
Impact:
- Findings underscore the need for improved diagnostic protocols to reduce delays and improve patient outcomes.
- Highlights the importance of early imaging and appropriate antibiotic selection in managing perinephric abscess.
- Emphasizes that despite extensive abscess formation, prompt treatment can lead to favorable outcomes.