R S Rai1, S C Karan2, A Kayastha3. 1. Classified Specialist (Surgery & Urology), Command Hospital (Northern Command), C/O 56 APO. 2. Senior Advisor (Surgery & Urology), Army Hospital, Delhi Cantt 110 001. 3. Commandant, Military Hospital, Jalandhar, Punjab.
Abstract
BACKGROUND: This study was carried out to assess the spectrum of renal and perinephric space infection among urology patients admitted in the last three years. METHODS: Medical records of patients with renal and perinephric abscess and emphysematous pyelonephritis were reviewed. RESULTS: Out of 2278 patients admitted in last three years, 29 (1.2%) patients suffered from renal and perinephric space infection, 13 (45%) patients had renal abscess, 11 (38%) perinephric abscess and five (17%) emphysematous pyelonephritis. Sixteen (55%) patients recovered conservatively, nine (31%) patients required percutaneous drainage of the abscesses and remaining four (14%) underwent surgical exploration. The overall mortality was 14% in this study. CONCLUSION: Renal and perinephric space infection continues to be a serious urological problem with high mortality rate. A high index of suspicion, prompt diagnosis, appropriate antibiotics and surgical intervention may be effective in reducing mortality.
BACKGROUND: This study was carried out to assess the spectrum of renal and perinephric space infection among urology patients admitted in the last three years. METHODS: Medical records of patients with renal and perinephric abscess and emphysematous pyelonephritis were reviewed. RESULTS: Out of 2278 patients admitted in last three years, 29 (1.2%) patients suffered from renal and perinephric space infection, 13 (45%) patients had renal abscess, 11 (38%) perinephric abscess and five (17%) emphysematous pyelonephritis. Sixteen (55%) patients recovered conservatively, nine (31%) patients required percutaneous drainage of the abscesses and remaining four (14%) underwent surgical exploration. The overall mortality was 14% in this study. CONCLUSION:Renal and perinephric space infection continues to be a serious urological problem with high mortality rate. A high index of suspicion, prompt diagnosis, appropriate antibiotics and surgical intervention may be effective in reducing mortality.
Authors: Victor Cornejo-Dávila; Mario A Palmeros-Rodríguez; Israel Uberetagoyena-Tello de Meneses; Edgar Mayorga-Gómez; Gerardo Garza-Sáinz; Victor Osornio-Sánchez; Luis Trujillo-Ortiz; Jorge E Sedano-Basilio; Mauricio Cantellano-Orozco; Carlos Martínez-Arroyo; Jorge G Morales-Montor; Carlos Pacheco-Gahbler Journal: Int Urol Nephrol Date: 2014-11-26 Impact factor: 2.370