Öz
Intrarenal abscess can occur as a complication of acute pyelonephritis and also via haematologic route. The abscesses, which occurs as a complication of acute pyelonephritis are usually localized in cortex, medulla or both and the causative agent is often Gram negative bacilli. Hematogenous abscesses are usually soliter and localized in cortex. As the urine microscopy can be normal in most of the patients, the imaging techniques such as computorized tomography and ultrasonography are essential. Intrarenal abscesses may cause renal damage especially in children. Antibiotherapy alone is usually sufficient for the therapy of intrarenal abscess, but surgical procedures can be needed especially for big abscess. In this study, we aimed to report a case of multiple intrarenal abscess, which fully recovered with antibiotherapy alone
Anahtar Kelimeler
Kaynakça
- Sobel JD, Kaye D: Urinary Tract Infections. In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practice of Infectious Diseases. Seventh edition. Philadelphia: Churchill Livingstone Elsevier, 2010; 957-985.”1
- Bova JG, Potter JL, Arevalos E, Hopens T, Goldstein HM, Radwin HM: Renal and perirenal infection: the role of computerized tomography. J Urol. 1985; 133(3): 375-378.
- Kaplan DM, Rosenfield AT, Smith RC: Advances in the imaging of renal infection. Helical CT and modern coordinated imaging. Infect Dis Clin North Am. 1997; 11(3): 681-70
- Gerzof SG, Gale ME: Computed tomography and ultrasonography for diagnosis and treatment of renal and retroperitoneal abscesses. Urol Clin North Am. 1982; 9(1): 185-1
- Bellman AB. Genitourinary infections. In: Kelalis PP, King LR, BellmanAB, eds. Clinical Pediatric Urology. Philadelphia: WB Saunders Company, 1985: 244-245.
- Comploj E, Cassar W, Farina a, Gasparella P, Trenti E, Patermo S: Conservative management of pediatric renal abscess. Journal of Pediatric Urology (2013), http://dx.doi. org./1016/j.purol.2013.05.016.
- Nicolle LE: Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urol Clin North Am. 2008; 35(1): 1-12.
- Gaynes R, Edwards JR: National Nasocomial Infections Surveillance System. Overview of nasocomial infections caused by Gram-negative bacilli. Clin Infect Dis. 2005; 41(6): 848-8
- Bampala S, Kollios K, Antachopoulos C: Renal abscess due to Pseudomonas aeruginosa: report of two cases. Minerva Pediatr. 2013; 65(3): 349-352.
- Dubey D, Raza FS, Sawhney A, Pandey A: Klebsiella pneumonia renal abscess syndrome: A rare case with metastatic involvement of lungs, eye and brain. Case Reports in Infectious Diseases (2013), http://dx.doi. org/1155/2013/685346.
- Warren JW, Abrutyn E, Hebel JR, Johnson JR, Schaeffer AJ, Stamm WE: Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Infectious Diseases Society of America (IDSA). Clin Infect Dis. 1999; 29(4): 745-758.
- Hooton TM: The current management strategies for community-acquired urinary tract infection. Infect Dis Clin North Am. 2003; 17(2): 303-322.
- Siegel JF, Smith A, Moldwin R: Minimaly invasive treatment of renal abscess. J Urol. 1996; 155(1): 52-55.
- Söğüt A, Uslu S, Adaletli İ, Elevli M: Ayaktan antibiyoterapi ile tedavi edilen bir renal apse olgusu. Zeynep Kamil Tıp Bülteni 2005; 36(3): 143-145.
Öz
İntrarenal apseler, akut piyelonefritin komplikasyonu olarak veya hematojen yolla gelişebilmektedir. Piyelonefritin komplikasyonu olarak gelişen apseler genellikle kortekste, medullada veya her ikinde birlikte yerleşir ve etken genellikle Gram negatif enterik bakterilerdir. Hematojen yolla oluşan apseler ise genellikle kortekste yerleşir, tektir ve etken de hemen her zaman stafilokoklardır. Tanıda idrar mikroskopisi normal olabileceği için, bilgisayarlı tomografi veya ultrasonografi gibi görüntüleme yöntemlerinin önemi büyüktür. İntrarenal abseler, özellikle çocuklarda, erken tedavi edilmediğinde böbrek hasarına yol açabilir. Tedavide antibiyoterapi genellikle tek başına yeterli olabilmekle birlikte, özellikle büyük boyuttaki apselerde cerrahi girişime ihtiyaç duyulabilmektedir. Bu çalışmada sadece medikal tedavi ile düzelen, multiple renal apseleri olan bir olguyu sunmayı amaçladık.
Anahtar Kelimeler
Kaynakça
- Sobel JD, Kaye D: Urinary Tract Infections. In: Mandell GL, Bennett JE, Dolin R (eds). Principles and Practice of Infectious Diseases. Seventh edition. Philadelphia: Churchill Livingstone Elsevier, 2010; 957-985.”1
- Bova JG, Potter JL, Arevalos E, Hopens T, Goldstein HM, Radwin HM: Renal and perirenal infection: the role of computerized tomography. J Urol. 1985; 133(3): 375-378.
- Kaplan DM, Rosenfield AT, Smith RC: Advances in the imaging of renal infection. Helical CT and modern coordinated imaging. Infect Dis Clin North Am. 1997; 11(3): 681-70
- Gerzof SG, Gale ME: Computed tomography and ultrasonography for diagnosis and treatment of renal and retroperitoneal abscesses. Urol Clin North Am. 1982; 9(1): 185-1
- Bellman AB. Genitourinary infections. In: Kelalis PP, King LR, BellmanAB, eds. Clinical Pediatric Urology. Philadelphia: WB Saunders Company, 1985: 244-245.
- Comploj E, Cassar W, Farina a, Gasparella P, Trenti E, Patermo S: Conservative management of pediatric renal abscess. Journal of Pediatric Urology (2013), http://dx.doi. org./1016/j.purol.2013.05.016.
- Nicolle LE: Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urol Clin North Am. 2008; 35(1): 1-12.
- Gaynes R, Edwards JR: National Nasocomial Infections Surveillance System. Overview of nasocomial infections caused by Gram-negative bacilli. Clin Infect Dis. 2005; 41(6): 848-8
- Bampala S, Kollios K, Antachopoulos C: Renal abscess due to Pseudomonas aeruginosa: report of two cases. Minerva Pediatr. 2013; 65(3): 349-352.
- Dubey D, Raza FS, Sawhney A, Pandey A: Klebsiella pneumonia renal abscess syndrome: A rare case with metastatic involvement of lungs, eye and brain. Case Reports in Infectious Diseases (2013), http://dx.doi. org/1155/2013/685346.
- Warren JW, Abrutyn E, Hebel JR, Johnson JR, Schaeffer AJ, Stamm WE: Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis in women. Infectious Diseases Society of America (IDSA). Clin Infect Dis. 1999; 29(4): 745-758.
- Hooton TM: The current management strategies for community-acquired urinary tract infection. Infect Dis Clin North Am. 2003; 17(2): 303-322.
- Siegel JF, Smith A, Moldwin R: Minimaly invasive treatment of renal abscess. J Urol. 1996; 155(1): 52-55.
- Söğüt A, Uslu S, Adaletli İ, Elevli M: Ayaktan antibiyoterapi ile tedavi edilen bir renal apse olgusu. Zeynep Kamil Tıp Bülteni 2005; 36(3): 143-145.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Ekim 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 5 Sayı: 3 |
