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Renal and perirenal abscesses

L M Dembry1, V T Andriole

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

Infectious Disease Clinics of North America
|October 6, 1997
PubMed
Summary

Advances in radiology have expanded the understanding of renal abscesses. While antibiotic therapy often suffices for intrarenal abscesses, perinephric abscesses necessitate drainage and potentially surgery.

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Area of Science:

  • Nephrology
  • Radiology
  • Infectious Diseases

Background:

  • Renal abscess classification has evolved with advanced imaging.
  • Current classifications include acute focal bacterial nephritis, acute multifocal bacterial nephritis, renal cortical abscess, renal corticomedullary abscess, and xanthogranulomatous pyelonephritis.
  • Clinical symptoms do not reliably distinguish between these intrarenal abscess types.

Purpose of the Study:

  • To review the spectrum of renal abscesses.
  • To discuss diagnostic imaging modalities.
  • To outline current treatment strategies for intrarenal and perinephric abscesses.

Main Methods:

  • Review of current literature on renal abscesses.
  • Analysis of radiologic techniques for diagnosis.
  • Summary of therapeutic approaches including antibiotics and surgical interventions.

Main Results:

  • Radiologic studies are crucial for diagnosing various intrarenal abscesses.
  • Most intrarenal abscesses respond well to antibiotic therapy alone.
  • Perinephric abscesses present diagnostic challenges and require more aggressive management, often including drainage and possibly nephrectomy.

Conclusions:

  • Accurate diagnosis of renal abscesses relies on advanced imaging.
  • Treatment varies significantly between intrarenal and perinephric abscesses.
  • Prompt and appropriate management is essential for favorable outcomes in renal abscess cases.

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