Successful Treament of Renal Abscess with Percutaneous Needle Aspiration in a Diabetic Patient with End Stage Renal Disease Undergoing Hemodialysis

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Title:	Successful Treament of Renal Abscess with Percutaneous Needle Aspiration in a Diabetic Patient with End Stage Renal Disease Undergoing Hemodialysis
Authors:	王怡寬(I-Kuan Wang);陳右明(Yu-Ming Chen);陳永昌(Yung-Chang Chen);方基存(Ji-Tseng Fang)*;黃秋錦(Chiu-Ching Huang)?
Contributors:	中國附醫內科部腎臟科腹膜透析室
Date:	2003
Issue Date:	2009-08-20 17:30:50 (UTC+8)
Abstract:	Renal abscesses in patients with end stage renal disease are quite rare, and misdiagnosis or delaying in diagnosis is frequent. This report examines a case of renal abscess in a patient with end stage renal disease on maintenance hemodialysis and diabetes mellitus, which presented with a prolonged fever. An infected diabetic foot was impressed initially. Purulent urine, pyuria, bacteriuria, and bacteremia were noted after admission. Renal abscess was diagnosed by percutaneous needle aspiration under computerized tomography guidance. The patient was treated with parenteral antibiotics and percutaneous aspiration of the abscess. Follow-up ultrasonography showed renal abscess resolution. This case demonstrated that nephrectomy was not required in selected uremic patients with renal abscess.
Relation:	RENAL FAILURE25(4):653~657
Appears in Collections:	[China Medical University Hospital] Jurnal articles

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