Pyelonephritis with renal abscesses

Case contributed by Dmitry Gebel , 7 Jul 2018
Diagnosis certain
Changed by Ayla Al Kabbani, 10 Sep 2019

Updates to Case Attributes

Body was changed:

Pyelonephritis does not normally require imaging confirmation, but a suspicion for renal abscess is an indication for advanced imaging.

Typically, treatment is a combination of antibiotics +/- percutaneous drainage of abscess(es). Surgical exploration may be necessary if there is a high risk complicating factor (e.g. emphysematous pyelonephritis) or if conservative therapies have failed to control the infection.

Thanks to Dr GM Adenova for contributing this case.

  • -<p><a href="/articles/pyelonephritis">Pyelonephritis </a>does not normally require imaging confirmation, but a suspicion for <a href="/articles/renal-abscess">renal abscess</a> is an indication for advanced imaging.</p><p>Typically, treatment is a combination of antibiotics +/- <a title="Ultrasound guided percutaneous drainage" href="/articles/ultrasound-guided-percutaneous-drainage">percutaneous drainage</a> of abscess(es). Surgical exploration may be necessary if there is a high risk complicating factor (e.g. e<a title="Emphysematous pyelonephritis" href="/articles/emphysematous-pyelonephritis">mphysematous pyelonephritis</a>) or if conservative therapies have failed to control the infection.</p><p>Thanks to Dr GM Adenova for contributing this case.</p>
  • +<p><a href="/articles/pyelonephritis">Pyelonephritis </a>does not normally require imaging confirmation, but a suspicion for <a href="/articles/renal-abscess">renal abscess</a> is an indication for advanced imaging.</p><p>Typically, treatment is a combination of antibiotics +/- <a href="/articles/ultrasound-guided-percutaneous-drainage">percutaneous drainage</a> of abscess(es). Surgical exploration may be necessary if there is a high risk complicating factor (e.g. <a title="Emphysematous pyelonephritis" href="/articles/emphysematous-pyelonephritis">e</a><a href="/articles/emphysematous-pyelonephritis">mphysematous pyelonephritis</a>) or if conservative therapies have failed to control the infection.</p><p>Thanks to Dr GM Adenova for contributing this case.</p>

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