Medical journal, Armed Forces India · 2011
Renal and Perinephric Abscesses Revisited.
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Rai R S, Karan S C, Kayastha A
Аннотация
BACKGROUND: This study was carried out to assess the spectrum of renal and perinephric space infection among urology patients admitted in the last three years.
METHODS: Medical records of patients with renal and perinephric abscess and emphysematous pyelonephritis were reviewed.
RESULTS: Out of 2278 patients admitted in last three years, 29 (1.2%) patients suffered from renal and perinephric space infection, 13 (45%) patients had renal abscess, 11 (38%) perinephric abscess and five (17%) emphysematous pyelonephritis. Sixteen (55%) patients recovered conservatively, nine (31%) patients required percutaneous drainage of the abscesses and remaining four (14%) underwent surgical exploration. The overall mortality was 14% in this study.
CONCLUSION: Renal and perinephric space infection continues to be a serious urological problem with high mortality rate. A high index of suspicion, prompt diagnosis, appropriate antibiotics and surgical intervention may be effective in reducing mortality.
METHODS: Medical records of patients with renal and perinephric abscess and emphysematous pyelonephritis were reviewed.
RESULTS: Out of 2278 patients admitted in last three years, 29 (1.2%) patients suffered from renal and perinephric space infection, 13 (45%) patients had renal abscess, 11 (38%) perinephric abscess and five (17%) emphysematous pyelonephritis. Sixteen (55%) patients recovered conservatively, nine (31%) patients required percutaneous drainage of the abscesses and remaining four (14%) underwent surgical exploration. The overall mortality was 14% in this study.
CONCLUSION: Renal and perinephric space infection continues to be a serious urological problem with high mortality rate. A high index of suspicion, prompt diagnosis, appropriate antibiotics and surgical intervention may be effective in reducing mortality.