Kidney abscess: Difference between revisions

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Latest revision as of 18:07, 18 September 2017

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Steven C. Campbell, M.D., Ph.D.

Synonyms and keywords: Acute focal bacterial nephritis; acute multifocal bacterial nephritis; emphysematous pyelonephritis; focal pyelonephritis; intrarenal abscess; lobar nephronia; renal corticomedullary abscess; renal abscess

Overview

Pathophysiology

Causes

Differentiating Kidney abscess from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Treatment

Medical Therapy | Surgery | Primary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

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 {{SCC}}
-{{SK}} Acute focal bacterial nephritis, acute multifocal bacterial nephritis, emphysematous pyelonephritis, focal pyelonephritis, intrarenal abscess, lobar nephronia, renal corticomedullary abscess
+{{SK}} Acute focal bacterial nephritis; acute multifocal bacterial nephritis; emphysematous pyelonephritis; focal pyelonephritis; intrarenal abscess; lobar nephronia; renal corticomedullary abscess; renal abscess
-==Overview==
+==[[Kidney abscess overview|Overview]]==
-A kidney abscess is in intrarenal infection. Kidney abscesses are rare.
-==Pathophysiology==
+==[[Kidney abscess pathophysiology|Pathophysiology]]==
-Most perirenal abscesses are caused by [[urinary tract infection]]s that start in the [[bladder]], spread to the kidney, and then spread to the area around the kidney. Other causes of perirenal abscess include surgery in the urinary tract or [[reproductive system]] and bloodstream infection.
-The primary pathogens involved in a kidney abscess include the following:
+==[[Kidney abscess causes|Causes]]==
-*[[Enterobacter]] species
+==[[Kidney abscess differential diagnosis|Differentiating Kidney abscess from other Diseases]]==
-*[[Escherichia coli]]
-*[[Klebsiella]] species
-*[[Proteus mirabilis]]
-*[[Pseudomonas]] species
-*[[Streptococcus faecalis]]
-*[[Staphylococcus aureus]]
-==Risk Factors==
-The biggest risk factor for perirenal abscess is kidney stones that block the flow of urine and provide a place for an infection to grow. Bacteria tend to stick to the stones and [[antibiotic]]s can't kill the bacteria there.
-Stones are found in 20 - 60% of patients with perirenal abscess. Other risk factors for perirenal abscess include:
+==[[Kidney abscess epidemiology and demographics|Epidemiology and Demographics]]==
-*[[Diabetes]]
-*Having an abnormal urinary tract
+==[[Kidney abscess risk factors|Risk Factors]]==
-*Trauma
-==Natural History, Complications and Prognosis==
+==[[Kidney abscess natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
-In general, quick diagnosis and treatment of perirenal abscess should lead to a good outcome. Kidney stones must be treated to avoid further infections. In rare cases, the infection can spread beyond the kidney area and into the bloodstream, which can be deadly.
-If one has kidney stones, the infection may not go away.
 ==Diagnosis==
-===History and Symptoms===
+[[Kidney abscess history and symptoms|History and Symptoms]] | [[Kidney abscess physical examination|Physical Examination]] | [[Kidney abscess laboratory findings|Laboratory Findings]] | [[Kidney abscess CT|CT]] | [[Kidney abscess MRI|MRI]] |  [[Kidney abscess ultrasound|Ultrasound]] |  [[Kidney abscess other imaging findings|Other Imaging Findings]] | [[Kidney abscess other diagnostic studies|Other Diagnostic Studies]]
-Symptoms of perirenal abscess include:
-*[[Chills]]
-*[[Fever]]
-*Pain in the [[flank]] (side of the abdomen) or [[abdomen]], which may extend to the [[groin]] or down the leg
-*Sweats
-===Physical Examination===
-Signs of perirenal abscess include tenderness in the back or abdomen.
 ==Treatment==
-To treat perirenal abscess, the pus can be drained through a catheter that is placed through the skin or with surgery. Antibiotics should also be given, at first through a vein (IV).
+[[Kidney abscess medical therapy|Medical Therapy]] | [[Kidney abscess surgery|Surgery]] | [[Kidney abscess primary prevention|Primary Prevention]] | [[Kidney abscess cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Kidney abscess future or investigational therapies|Future or Investigational Therapies]]
-==Primary Prevention==
-The surgical area must be kept as clean as possible after a urologic surgery.
-==References==
-{{reflist|2}}
-[[category:Nephrology]]
+==Case Studies==
-[[category:Urology]]
+[[Kidney abscess case study one|Case #1]]
-[[category:Infectious disease]]
+[[Category:Disease]]
-[[Category:Needs content]]
+[[Category:Nephrology]]
+[[Category:Urology]]
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