Öz
Giriş: Renal apse nadir görülen bir intraabdominal enfeksiyondur.
Belirgin morbidite ve mortaliteye neden olabilir. Diabetes Mellitüs,
üriner sisteme ait anormalilikler, kronik hastalıklar ve intravenöz
ilaç kullanımı predispozan faktörlerdir.
Olgu Sunumu: Biz bu vakada 30 yaşlında yüksek ateş, dizüri, pollakiüri,
sağ yan ağrısı, bulantı ve kusma ile başvuran bir hastayı
sunmaktayız. Hastada ilk once pyeleonefrit teşhisi konulmuş ancak
ileri tetkikler sonucunda renal abse tespit edilmiştir
Sonuç: Antimikrobiyal tedaviye rağmen semptomları devam
eden ve ateşi olan ürüner sistem enfeksiyonlu hastalara daha fazla
dikkat edilmelidir.
Anahtar Kelimeler
Kaynakça
- Meng MV, Mario LA, McAinch JW. Current treatment and outcomes of perinephric abscesses. J Urol 2002; 168; 1337-40. [CrossRef]
- Coelho RF, Schneider-Monteiro ED, Mesquita JL. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg 2007; 31:431-6. [CrossRef]
- Hoverman IV, Gentry LO, Jones DW, Guerriero WG. Intrarenal abscess. Report of 14 cases. Arch Intern Med; 1980; 140: 914 [CrossRef]
- Schaechter M. Escherichia Coli. Encyclopedia of Microbiology (Third Edition); 2009; 125-32
- Yen DH, Hu SC, Tsai J. Renal abscess: early diagnosis and treatment. Am J Emerg Med 1999; 17: 192-7. [CrossRef]
- Meyrier A, Guibert J. Diagnosis and drug treatment of acute pyeloneph- ritis. Drugs 1992; 44: 356-67. [CrossRef]
- Ramakrishnan K, Scheid DC. Diagnosis and management of acute pye- lonephritis in adults. Am Fam Physician 2005; 71: 933-42.
- Sheinfeld J, Erturk E, Spataro RF, Cockett AT. Perinephric abscess: current concepts. J Urol 1987; 137:191-4.
- Corrigan JJ, Boineau FG. Hemolytic-uremic syndrome. Pediatr Rev.2001; 22: 365–369.
- López Alcina E, Arlandis Guzmán S, Monserrat Monfort JJ. Renal and perirenal abscess. Actas Urol Esp 1999; 23:135-9.
Öz
Introduction: Renal abscess is an uncommon intraabdominal infection. It can cause significant morbidity and mortality. Diabetes mellitus (DM), urinary tract abnormalities, chronic debilitating disease, and intravenous drug abuse are the predisposing factors.Case Report: In this case report, we present a 30-year-old immunocompetent woman who presented with fever, dysuria, pollakiuria, right flank pain, nausea, and vomiting. She was first diagnosed as pyelonephritis. But, further investigations were made, and a renal abscess was found.Conclusion: Special attention should be given to patients with urinary tract infections having fever and ongoing symptoms despite antimicrobial treatment
Anahtar Kelimeler
Renal abscess thrombocytopenia leukopenia computerized tomography
Kaynakça
- Meng MV, Mario LA, McAinch JW. Current treatment and outcomes of perinephric abscesses. J Urol 2002; 168; 1337-40. [CrossRef]
- Coelho RF, Schneider-Monteiro ED, Mesquita JL. Renal and perinephric abscesses: analysis of 65 consecutive cases. World J Surg 2007; 31:431-6. [CrossRef]
- Hoverman IV, Gentry LO, Jones DW, Guerriero WG. Intrarenal abscess. Report of 14 cases. Arch Intern Med; 1980; 140: 914 [CrossRef]
- Schaechter M. Escherichia Coli. Encyclopedia of Microbiology (Third Edition); 2009; 125-32
- Yen DH, Hu SC, Tsai J. Renal abscess: early diagnosis and treatment. Am J Emerg Med 1999; 17: 192-7. [CrossRef]
- Meyrier A, Guibert J. Diagnosis and drug treatment of acute pyeloneph- ritis. Drugs 1992; 44: 356-67. [CrossRef]
- Ramakrishnan K, Scheid DC. Diagnosis and management of acute pye- lonephritis in adults. Am Fam Physician 2005; 71: 933-42.
- Sheinfeld J, Erturk E, Spataro RF, Cockett AT. Perinephric abscess: current concepts. J Urol 1987; 137:191-4.
- Corrigan JJ, Boineau FG. Hemolytic-uremic syndrome. Pediatr Rev.2001; 22: 365–369.
- López Alcina E, Arlandis Guzmán S, Monserrat Monfort JJ. Renal and perirenal abscess. Actas Urol Esp 1999; 23:135-9.
Ayrıntılar
| Diğer ID | JA29VP82NY |
|---|---|
| Bölüm | Case Report |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2014 |
| Gönderilme Tarihi | 1 Mart 2014 |
| Yayımlandığı Sayı | Yıl 2014 Cilt: 5 Sayı: 3 |