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Renal abscess: report of two cases
1Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Zhonghua Minguo Xiao Er Ke Yi Xue Hui Za Zhi [Journal]. Zhonghua Minguo Xiao Er Ke Yi Xue Hui
|November 21, 1998
Summary
Pediatric renal abscess, a rare kidney infection, can be treated with antibiotics alone or combined with drainage. Prompt diagnosis using imaging like sonography and CT is crucial for effective management of this uncommon condition.
Area of Science:
- Pediatric Nephrology
- Medical Imaging
- Infectious Diseases
Background:
- Renal abscess is an uncommon renal disease in pediatric patients.
- It is often complicated by inadequately treated urinary tract infections or other unknown causes.
- Prompt diagnosis and management are essential for favorable outcomes.
Observation:
- Two pediatric cases of renal abscess, previously treated with antibiotics, were reported.
- Diagnosis was rapidly established using sonography and computed tomography (CT).
- Serial sonography monitored abscess resolution during treatment.
Findings:
- One case resolved with antibiotics alone over 2 months.
- The second case showed near-complete resolution after 3 weeks of antibiotics plus tube drainage.
- Imaging guided the treatment approach and confirmed resolution.
Implications:
- Sonography and CT enable prompt diagnosis of pediatric renal abscess.
- Percutaneous drainage is a viable option when antibiotic therapy is insufficient.
- Early and accurate diagnosis improves management of this rare pediatric condition.