Ayhan SÖĞÜT, Sevde USLU, İbrahim ADALETLİ, Murat ELEVLİ

Ayaktan antibiyoterapi ile tedavi edilen bir renal apse olgusu

On bir yaşındaki kız hasta ateş ve yan ağrısı ile başvurdu. Üriner sistem ultrasonografisi ve bilgisayarlı tomografi ile böbrek apsesi tanısı kondu. Hasta, drenaj uygulanmaksızın geniş spektrumlu antibiyotik tedavisi ile evde başarılı bir şekilde tedavi edildi. Yan ağrısı, ateş, lökositoz ve sedimentasyon yüksekliği olan çocuklarda böbrek apsesi ayırıcı tanıda düşünülmeli ve renal apsenin drenaj uygulanmadan evde antibiyoterapi ile tedavi edilebileceği akılda tutulmalıdır.

Anahtar Kelimeler:

Böbrek hastalıkları, Çocuk, Anti-bakteriyel ajanlar, Apse

A renal abscess case treated with antibiotic at home

An 11 years old girl applied for fever and flank pain. The diagnosis of renal abscess was made by ultrasound and computerized tomography. The patient was treated at home with broad-spectrum antibiotic therapy but without drainage. Renal abscess must be suspected in the differential diagnosis of children with fever, flank pain, leukocytosis and elevated erythrocyte sedimentation rate and it must be remembered that they may heal with antibiotic therapy without drainage.

Keywords:

Kidney Diseases, Child, Anti-Bacterial Agents, Abscess,

PDF

___

Steele BT, Petrou C, de Maria J. Renal abscess in children. Urology 1990;36:325-328
Bellman AB. Genitourinary infections. In: Kelalis PP, King LR, Bellman AB, eds. Clinical Pediatric Urology. Philadelphia: WB Saunders Company, 1985:244-245
Fallon B, Gershon C. Renal carbuncle: diagnosis and management Urology 1981 17;303-309
Barker AP, Ahmed S. Renal abscess in childhood
Aust NZJ Surg 1991;61:217-221
Brandeis JM, Baskin LS, Kogan BA, Wara D, Dorenbaum A. Recurrent staphylococcus aureus renal abscess in a child positive for the human immunodeficiency virus. Urology 1995;46:246-248
Fowler JE Jr, Perkins T. Presentation, diagnosis and treatment of renal abscesses: 1972-1988. J Urol 1994:151:847-851
Caldamone AA, Frank IN. Percutaneous aspiration in the treatment of renal abscess. J Urol 1980;123:92-93
Finn DJ, Palestrant AM, DeWolf WC. Successful percutaneous management of renal abscess. J Urol 1982;127:425-426
Dougherty FE, Gottlieb RP, Gross GW, Denison MR. Neonatal renal abscess caused by staphylococcus aureus. Pediatr Infect Dis J 1991:10:463-466
Brook I. The role of anaerobic bacteria in perinephric and renal abscesses in children
Pediatrics 1994:93:261-264
Molino D, Anastasio P, Casoli E, De Santo NG
Renal abscess: recovery without hospitalizdtion and drainage. Clinical Nephrology 2001:56:169- 171
Greenfield SP, Montgomery P. Computerized tomography and acute pyelonephritis in children
A clinical correlation. Urology 1987:29:137-140
Angel C, Shu T, Green J, Orihuela E, Rodriquez G, Hendrick E. Renal and peri-renal abscesses in children: proposed physio-pathologic mechanisms and treatment algorithm. Pediatr Surg Int 2003;19: 35-39
Kawashima A, Sandier CM, Goldman SM, RavalBK, Fishman EK. CT of renal inflammatory disease. Radiographics 1997:17:851-866
Wippermann CF, Schofer O, Beetz R, Schumacher R, Schweden F, Riedmiller H, et al
Renal abscess in childhood: diagnostic and therapeutic progress. Pediatr Infect Dis J 1991:10:446-450
Elder JS. Urinary Tract Infections. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. 17 th ed. Philadelphia: Saunders Company, 2004:1785-1790
Wang YT, Lin KY, Chen MJ, Chion YY. Renal abscess in children: a clinical retrospective study
Ada Paediatr Taiwan 2003:44:197-201
Siegel JF, Smith A, Moldwin R. Minimally invasive treatment of renal abscess. J Urol 1996:155:52-55
Shu T, Green J, Orihuela E. Renal andperirenal abscesses in patients with otherwise anatomically normal urinary tracts. J Urol 2004:172:148-150