Renal Abscess: Report of Two Cases

腎膿瘍：二病例報告

洪志興(Chih-Hsing Hung) ； 王志堅(Chih-Chien Wang) ； 華一鳴(Yi-Ming Hua) ； 陳遠浩(Yuan-Hao Chen) ； 朱夢麟(Mong-Ling Chu)

《Acta Paediatrica Sinica》 39卷5期 (1998/10) Pp. 336-338

https://doi.org/10.7097/APS.199810.0336

摘要

腎盂腎炎在兒科病人的泌尿道感染中並不少見，在適當的靜脈注射抗生素治療十至十四天後即能痊癒，但有極少的可能發生罕見的腎膿瘍，因爲我們曾發現兩例特別提出報告。其中第一個病例，在我們以不同的靜脈抗生素治療十四天後，雖已無發燒現象十天，卻在即將出院時病人因腹痛及再次發燒，經由腹部超音波檢查右腎逐瘍，因爲膿瘍位於學問且接近大血管不易引流，因此沒有接受引流手術，經過兩個月的抗生素治療後完全痊癒。第二個病例先在地方醫院以靜脈注射抗生素四天後仍持續高燒，經檢查發現有左腎膿瘍，經引流及繼續抗生素治療後痊癒。因此若在適當抗生素治療泌尿道感染無效時，湎攷慮是否已産生腎膿瘍。

關鍵字

泌尿道感染 ； 腎膿瘍

並列摘要

Renal abscess, a very uncommon renal disease in the pediatric patient is often complicated by irrelevant antibiotics treated urinary tract infection or due to other unknown reasons. In this paper. two cases of renal abscess were reported though they had been treated with antibiotics. The diagnosis had been made soon by sonography and computed tomography (CT). In addition, during the period of treatment, a series of sonography were performed to monitor resolution of abscess. In one, the lesion was resolved by antibiotics alone for 2 months duration, the other nearly disappeared 3 weeks later after antibiotics treatment combined with tube-drainage. These imaging techniques permit a prompt diagnosis as well as percutaneous drainage performed if antibiotic treatment dose not lead to resolution of the abscess.

並列關鍵字

urinary tract infection ； renal abscess