Successful treatment of renal abscess with percutaneous needle aspiration in a diabetic patient with end stage renal disease undergoing hemodialysis.
Renal abscesses in patients with end stage renal disease are quite rare, and misdiagnosis or delaying in diagnosis is frequent. This report examines a case of renal abscess in a patient with end stage renal disease on maintenance hemodialysis and diabetes mellitus, which presented with a prolonged fever. An infected diabetic foot was impressed initially. Purulent urine, pyuria, bacteriuria, and bacteremia were noted after admission. Renal abscess was diagnosed by percutaneous needle aspiration under computerized tomography guidance. The patient was treated with parenteral antibiotics and percutaneous aspiration of the abscess. Follow-up ultrasonography showed renal abscess resolution. This case demonstrated that nephrectomy was not required in selected uremic patients with renal abscess.
Wang
I-Kuan
IK
Department of Nephrology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan, Republic of China.
Chen
Yu-Ming
YM
Chen
Yung-Chang
YC
Fang
Ji-Tseng
JT
Hang
Chiu-Ching
CC
D000038:Abscess / Q000473:pathology* / Q000628:therapy*; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D044963:Biopsy, Fine-Needle; D002443:Ceftriaxone / Q000627:therapeutic use; D003924:Diabetes Mellitus, Type 2 / Q000473:pathology* / Q000628:therapy*; D004322:Drainage; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D007668:Kidney / Q000473:pathology*; D007676:Kidney Failure, Chronic / Q000473:pathology* / Q000628:therapy*; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000473:pathology / Q000628:therapy; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents; D005839:Gentamicins; D002443:Ceftriaxone