Renal abscess in children: Case report and literature review

Hoang Xuan Dai, Tran Pham Minh Khoi, Nguyen Thi Kien, Nguyen Van Son

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Abstract

Renal abscess in pediatric patients represents a rare but potentially severe infectious condition. Without early diagnosis and timely intervention, this disease may lead to significant complications, including mortality. The therapeutic approach, whether conservative management with antibiotics or surgical intervention, is determined by the size of the abscess and the patient's overall clinical status. This report describes the case of a 10-year-old female patient presenting with high-grade fever, as well as flank and back pain. Laboratory tests revealed elevated infection markers, and imaging confirmed the presence of a renal abscess measuring 35×44mm, which had ruptured into the pelvic floor muscles. The patient received intravenous antibiotic therapy alone, without drainage or surgical intervention. After four weeks of antibiotic administration, clinical symptoms and laboratory abnormalities were resolved completely. Serial ultrasound examinations confirmed progressive regression of the abscess, which was resolved entirely by the eighth week of treatment initiation.

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References

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