Zoetermeer, The Netherlands.
Eur J Pediatr. 2010 Nov;169(11):1423-5. doi: 10.1007/s00431-010-1233-4. Epub 2010 Jun 18.
Renal abscesses are infrequently encountered in children. We describe a girl diagnosed with bilateral renal abscess. Although ultrasonography and computerised tomography are used to establish the diagnosis, in our case magnetic resonance imaging proved to be a useful additional diagnostic method. Using percutaneous aspiration, we were able to establish the correct diagnosis and identify the causative micro-organism. The patient was successfully treated with a combined intravenous and oral course of antibiotics. In conclusion, renal abscesses can occur in children without a history of reflux or urinary tract infection; this should be kept in mind when evaluating a child with fever. In addition, full recovery can be achieved solely with antibiotics.
儿童中很少发生肾脓肿。我们描述了一位被诊断为双侧肾脓肿的女孩。虽然超声检查和计算机断层扫描用于确立诊断，但在我们的病例中，磁共振成像被证明是一种有用的附加诊断方法。通过经皮抽吸，我们能够确立正确的诊断并确定致病微生物。该患者通过静脉内和口服联合使用抗生素成功治疗。总之，儿童可在无反流或尿路感染病史的情况下发生肾脓肿；在评估发热儿童时应牢记这一点。此外，仅使用抗生素即可完全康复。
