Renal abscess: recovery without hospitalization and drainage.
BACKGROUND
Renal absceeses in childhood are rare and require hospitalization, antibiotic therapy and drainage.


METHODS
Two cases of renal abscess in childhood are described. In both cases there was no history of either antecedent skin infection or urinary tract infection or reflux. Flank pain and fever had a sudden onset.


RESULTS
The diagnosis was made in the first case by ultrasound and gadolinium-enhnaced magnetic resonance, in the second case ultrasound and computerized axial tomography were used. The patients were successfully treated at home with antibiotic therapy but without drainage.


CONCLUSIONS
Renal abscesses must be suspected in children with loin pain, fever and leukocytosis. They may heal even without  hospitalization and drainage.
Molino
D
D
Division of Adult and Pediatric Nephrology, Post Graduate School of Urology, Second University of Naples, Italy.
Anastasio
P
P
Casoli
E
E
De Santo
N G
NG
D000038:Abscess / Q000175:diagnosis / Q000188:drug therapy*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002443:Ceftriaxone / Q000627:therapeutic use; D002648:Child; D004322:Drainage; D005260:Female; D006760:Hospitalization; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007674:Kidney Diseases / Q000175:diagnosis / Q000188:drug therapy*; D008297:Male; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000627:therapeutic use; D010878:Piperacillin / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D011859:Radiography; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy*; D014463:Ultrasonography
D000900:Anti-Bacterial Agents; D000077725:Piperacillin, Tazobactam Drug Combination; D002443:Ceftriaxone; D010397:Penicillanic Acid; D010878:Piperacillin