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A Case of Renal Abscess in Healthy Child

Journal of the Korean Pediatric Society 2000;43(7):1012-1015.
Published online July 15, 2000.
A Case of Renal Abscess in Healthy Child
Jin Yeong Jeong1, Young Seo Park1, Soo Youn Ham2
1Department of Pediatrics, College of Medicine, University of Ulsan, Ulsan, Korea
2Department of Radiology, College of Medicine, University of Ulsan, Ulsan, Korea
건강한 소아에서 발생한 신농양 1례
정진영1, 박영서1, 함수연2
1울산대학교 의과대학 소아과학교실
2울산대학교 의과대학 방사선과학교실
Correspondence: 
Jin Yeong Jeong, Email: jyjeong@uuh.ulsan.kr
Abstract
Renal abscess is rare in children and presents varying features which often lead to delay or error in diagnosis. Fever, lumbar pain, abdominal pain and occasional flank mass are the usual presenting complaints but a high degree of suspicion is important for the early detection of renal abscess. Hematogenous seeding of the kidney or ascending infection from the urinary collecting system are two proposed mechanisms of renal abscess formation. Renal ultrasonography facilitates an earlier diagnosis and is also useful in establishing percutaneous drainage, which appears to be the treatment method of choice. We experienced a case of renal abscess which was treated by percutaneous aspiration and antibiotics without surgical intervention.
Key Words: Renal abscess, E. coli, Ultrasonography, Percutaneous aspiration


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