Intrarenal abscess. Report of 14 cases.
Six of 14 patients with renal abscess had prior history of urinary tract infection; initial symptoms included fever and flank pain in 12. A drip-infusion intravenous pyelogram was the most sensitive radiologic test, but selective renal arteriography was most specific. Urine cultures were positive in all 14 patients; blood cultures were positive in nine. Six patients were treated with antibiotics alone and eight required surgery. Of the eight, five had pus-filled cavities, one had multiple stones, one had a renal infarct, and one had a resolving abscess. Of six treated with antibiotics alone, one died of unrelated complications and five have demonstrated no pathological renal condition after three to six years.
D000038:Abscess / Q000175:diagnosis* / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D004927:Escherichia coli Infections / Q000175:diagnosis / Q000628:therapy; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007674:Kidney Diseases / Q000175:diagnosis* / Q000628:therapy; D007710:Klebsiella Infections / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D013752:Tetracycline / Q000627:therapeutic use
D005839:Gentamicins; D000667:Ampicillin; D013752:Tetracycline