文章基本信息

标题：Bilateral Renal Cortical Abscesses Presenting as Pyrexia of Unknown Origin in an Immunocompetent Individual
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作者：Anupam Sarkar ; Sandipan Banik ; Debashis Sadhukhan 等
期刊名称：American Journal of Infectious Diseases
印刷版ISSN：1553-6203
卷号：11
期号：1
页码：11-14
DOI：10.3844/ajidsp.2015.11.14
出版社：Science Publications
摘要：The diagnosis of renal cortical abscess can be missed as thecondition is frequently associated with blood and urine culture negativity.Moreover, imaging by ultrasonography in the early stages of the disease maymiss small or developing abscesses and carbuncles. Renal abscesses being morecommon in the immunosuppressed, the condition may be overlooked in theimmunocompetent. We report a case of bilateral renal cortical abscesses in animmunocompetent individual who presented to us with Pyrexia of Unknown Origin (PUO).The patient’s urine and blood culture were negative and initial ultrasonographyof the abdomen revealed no abnormality. Based on clinical suspicion a repeatultrasonography was done, which detected bilateral renal cortical abscesses. Thus,when in doubt repeat or more sensitive imaging is required for correctdiagnosis. Important differences exist between renal cortical andcortico-medullary abscesses and this awareness guides therapeutic decision.Missing a renal cortical abscess based on single negative imaging could becatastrophic.
关键词：Renal Cortical Abscess; Immune-Competent; PUO