A Case of Renal abscess in Neonate.

Choi,  Sung Yun; Hwang,  Dae Hyun; Yoon,  Hye Sun

Case Report

Journal of the Korean Society of Neonatology 2005;12(2):200-205.
Published online November 1, 2005.

A Case of Renal abscess in Neonate.

Sung Yun Choi, Dae Hyun Hwang, Hye Sun Yoon

¹Department of Pediatrics, College of Medicine, Eulji University, Seoul, Korea. ysh3211@eulji.or.kr
²Department of Diagnostic Radiology, Hallym University, Seoul, Korea.

신생아에서 발생한 신농양 1례

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Abstract

The renal abscess is a rare disease in neonate. The clinical findings consist of non- specific symptoms such as fever, lethargy, flank mass and laboratory abnormalities including leukocytosis, elevated CRP, ESR and pyuria. The diagnosis can be made with ultrasonography, CT scan and DMSA. The renal abscess involving corticomedullary region is known to be frequently associated with urologic abnormality and can progress into perirenal abscess which has been reported to have a poor prognosis. The treatments include antibiotic therapy, drainage of abscess and surgical intervention. We report a neonate with bilateral renal abscesses with underlying vesicoureteral reflux grade V which was successfully treated with antibiotic therapy and drainage of abscess.

Key Words: Renal abscess; Vesicoureteral reflux; Neonate