83. Renal abscess - empirical treatment: A case report
Main Article Content
Abstract
Renal abscess is a rare complication of pyelonephritis, typically associated with recurrent urinary tract infections, anatomical abnormalities, urinary tract obstruction, or immunocompromised states. The most common causative bacteria are E. coli, Proteus, and S. aureus. Several reports have documented successful treatment of small renal abscesses (≤ 3cm) with a single course of intravenous antibiotics; however, the efficacy of conservative management in medium-sized abscesses (3 - 5cm) remains inconsistent across studies. We present the case of a 41-year-old female admitted with high-grade fever, chills, and left flank pain on day 3 of illness. Physical examination revealed marked left costovertebral angle tenderness. Computed tomography demonstrated two abscess cavities in the left kidney. She was diagnosed with left renal abscess and empirically treated with Cefepime and Vancomycin, becoming afebrile after 2 days and discharged after 14 days. We report this case to provide clinical experience in the diagnosis and empiric management of renal abscess in patients without predisposing risk factors.
Article Details
Keywords
Renal abscess, perinephric abscess, conservative management, empiric antibiotic therap
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