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http://dx.doi.org/10.3339/jkspn.2012.16.1.58

A Case of Infantile Urinary Tract Infection that Progressed to Renal Abscess Despite Early Antibi otic Treatment  

Hong, Eun-Young (Department of Pediatrics, Hallym University College of Medicine)
Lee, Ji-Hyun (Department of Pediatrics, Hallym University College of Medicine)
Jung, Ah-Young (Department of Radiology, Hallym University College of Medicine)
Lee, Jung-Won (Department of Pediatrics, Hallym University College of Medicine)
Publication Information
Childhood Kidney Diseases / v.16, no.1, 2012 , pp. 58-62 More about this Journal
Abstract
Urinary tract infection (UTI) is most commonly diagnosed bacterial infection in febrile infants. Renal abscess is a very rare complication of UTI in children. Early diagnosis and treatment with appropriate antibiotics are important because renal scar correlates positively with the time of treatment. Renal ultrasonography and abdominal computerized tomography facilitates an earlier diagnosis and is also useful in establishing percutaneous drainage. Extended broad spectrum antibiotics therapy alone can be effective in most types of renal abscesses in infant, but some antibiotics-resistant cases need surgical drainage or nephrectomy. We report a case of a infant UTI, that progressed to renal abscess despite early antibiotic treatment and was treated with US guided percutaneous needle aspiration.
Keywords
Urinary tract infection; Renal abscess; Infant; Vesicoureteral reflux;
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1 Cheng CH, Tsai MH, Su LH, Wang CR, Lo WC, Tsau YK, et al. Renal abscess in children. Pediatr Infect Dis J 2008;27:6-8.
2 Yen DH, Hu SC, Tsai J, Kao WF, Chern CH, Wang LM, et al. Renal abscess: early diagnosis and treatment. Am J Emerg Med 1999;17:192-7.   DOI   ScienceOn
3 Jeong JY, Park YS, Ham SY. A case of renal abscess in healthy child. J Korean Pediatr Soc 2000;43:1012-5.
4 Shimizu M, Katayama K, Kato E, Miyayama S, Sugata T, Ohta K. Evolution of acute focal bacterial nephritis into a renal abscess. Pediatr Nephrol 2005;20:93-5.   DOI   ScienceOn
5 Seidel T, Kuwertz-Broking E, Kaczmarek S, Kirschstein M, Frosch M, Bulla M, et al. Acute focal bacterial nephritis in 25 children. Pediatr Nephrol 2007;22:1897-901.   DOI   ScienceOn
6 Cheng CH, Tsau YK, Chen SY, Lin TY. Clinical courses of children with acute lobar nephronia correlated with computed tomographic patterns. Pediatr Infect Dis J. 2009;28:300-3.   DOI   ScienceOn
7 Rianthavorn P. Progression and resolution of acute focal bacterial nephritis. Iran J Kidney Dis. 2011;5:271-4.
8 Cheng CH, Tsau YK, Lin TY. Is acute lobar nephronia the midpoint in the spectrum of upper urinary tract infections between acute pyelonephritis and renal abscess? J Pediatr 2010;156:82-6.   DOI   ScienceOn
9 Baradkar VP, Mathur M, Kumar S. Renal abscess due to Escherichia coli in child. Saudi J Kidney Dis Transpl 2011;22:1215-18.
10 Cheng CH, Tsau YK, Hsu SY, Lee TL. Effective ultrasonographic predictor for the diagnosis of acute lobar nephronia. Pediatr Infect Dis J. 2004;23:11-4.   DOI   ScienceOn
11 Farmer KD, Gellett LR, Dubbins PA. The sonographic appearance focal pyelonephritis 8 years experience. Clin Radiol 2002;57:483-7.   DOI   ScienceOn
12 Saiki J, Vaziri ND, Barton C. Perinephric and intranephric abscesses: a review of the literature. West J Med 1982;136:95-102.
13 Deyoe LA, Cronan JJ, Lambiase RE, Dorfman GS. Percutaneous drainage of renal and perirenal abscesses: results in 30 patients. AJR Am J Roentgenol 1990;155:81-3.   DOI   ScienceOn
14 Shu T, Green JM, Orihuela E. Renal and perirenal abscesses in patients with otherwise anantomical normal urinary tracts. J Urol 2004;172:148-50.   DOI   ScienceOn
15 Meng MV, Mario LA, Mcaninch JW. Current treatment and outcome of perinephric abscesses. J Urol 2002;168:1337-40   DOI
16 Wippermann CF, Schofer O, Beetz R, Schumacher R, Schweden F, Riedmiller H, et al. Renal abscess in childhood: diagnostic and therapeutic progress. Pediatr Infect Dis J 1991;10:446-50.   DOI   ScienceOn
17 Coelho RF, Schneider-Monteiro ED, Mesquita JL, Mazzucchi E, Marmo Lucon A, Srougi M. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg 2007;31:431-6.   DOI   ScienceOn
18 Cheng CH, Tsau YK, Lin TY. Effective duration of antimicrobial therapy for the treatment of acute lobar nephronia. Pediatrics 2006;117:e84-9.   DOI   ScienceOn
19 Srinivasan K, Seguias L. Fever and Renal mass in a young child. Pediatr Ann 2011;40:421-3.   DOI   ScienceOn
20 Park JR, Oh JW, Yoo HJ, Kim PK. A case of multiple large renal abscesses completely resolved by conservative antibiotics administration. J Korean Soc Pediatr Nephrol 2006;10:77-82.
21 Hwang YS, Rhie YJ, Ahn SY, Lee JS, Han SW. A clinical study of renal abscesses in children. J Korean Soc Pediatr Nephrol 2005;9:64-8.