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Perinephric abscess: a review of 26 cases
The Journal of Urology
|December 1, 1977
Abstract:
Herein we review 26 cases of perinephric abscess, analyzed according to incidence, etiology, laboratory findings, signs and symptoms, diagnosis, radiographic findings, operative procedures, mortality and associated diseases. Of the abscess cultures 67 per cent were gram-negative organisms, most commonly Proteus, and 76 per cent of the abscesses were directly attributable to renal causes, mainly nephrolithiasis. Diabetes mellitus occurred in only 3 of the 26 cases.
Insights
This review of 26 perinephric abscess cases found most were caused by gram-negative bacteria, primarily Proteus, and linked to kidney stones. Diabetes was uncommon in affected patients.
Area of Science:
- Urology
- Infectious Diseases
- Nephrology
Background:
- Perinephric abscess is a serious kidney infection.
- Understanding its causes and outcomes is crucial for patient management.
Purpose of the Study:
- To analyze the incidence, etiology, clinical presentation, diagnosis, treatment, and mortality of perinephric abscess.
- To identify common causative organisms and associated risk factors.
Main Methods:
- Retrospective review of 26 cases of perinephric abscess.
- Analysis of laboratory findings, radiographic results, and operative procedures.
- Evaluation of patient demographics, symptoms, and associated diseases.
Main Results:
- 67% of abscess cultures were gram-negative organisms, with Proteus being most common.
- 76% of abscesses were linked to renal causes, predominantly nephrolithiasis (kidney stones).
- Diabetes mellitus was present in only 3 of the 26 cases.
Conclusions:
- Perinephric abscesses are often caused by gram-negative bacteria and associated with kidney stones.
- Early diagnosis and appropriate treatment are essential for improving outcomes.
- Further research into prevention strategies, especially concerning nephrolithiasis, is warranted.