Document Detail


Renal and perirenal abscesses.
MedLine Citation:
PMID:  9378929     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our knowledge of the spectrum of renal abscesses has evolved as a result of more sensitive radiologic techniques. The classification of intrarenal abscesses currently includes acute focal bacterial nephritis, acute multifocal bacterial nephritis, renal cortical abscess, renal corticomedullary abscess, and xanthogranulomatous pyelonephritis. The clinical presentation of these entities does not differentiate them, however, and various radiographic studies are helpful in making the diagnosis. The intrarenal abscess is usually treated successfully with antibiotic therapy alone. Antistaphylococcal therapy is indicated for the renal cortical abscess, whereas therapy directed against the common gram-negative uropathogens is indicated for most of the other entities. The perinephric abscess is often an elusive diagnosis, has a more serious prognosis, and is more difficult to treat. Drainage of the abscess and sometimes partial or complete nephrectomy, in addition to antibiotic therapy, are required for resolution.
Authors:
L M Dembry; V T Andriole
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Infectious disease clinics of North America     Volume:  11     ISSN:  0891-5520     ISO Abbreviation:  Infect. Dis. Clin. North Am.     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-11-07     Completed Date:  1997-11-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8804508     Medline TA:  Infect Dis Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  663-80     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
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MeSH Terms
Descriptor/Qualifier:
Abscess / diagnosis*,  drug therapy,  etiology*
Adult
Anti-Bacterial Agents / administration & dosage,  therapeutic use
Female
Gram-Negative Bacterial Infections / diagnosis,  drug therapy
Humans
Kidney / radiography,  radionuclide imaging,  ultrasonography
Kidney Diseases / diagnosis,  drug therapy,  microbiology*
Male
Staphylococcal Infections / diagnosis,  drug therapy
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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