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新生儿肾脓肿:诊断与治疗的挑战。1例临床病例

[Neonatal renal abscess: a diagnostic and therapeutic challenge. A clinical case].

作者信息

Argañaraz Gonçalves Sebastián, Casanueva Enrique, Filipis Silvia, Gandini Carla, Vanesa Rodríguez M, Santiago Adriana, Vázquez Aída, Vagni Roberto

机构信息

Hospital del Niñode San Justo. San Justo, Buenos Aires.

出版信息

Arch Argent Pediatr. 2017 Oct 1;115(5):e294-e297. doi: 10.5546/aap.2017.e294.

Abstract

Renal abscess is a rare disease in newborn, but severe consequences can occur: sepsis with high mortality, renal scar formation and risk of chronic renal failure. A neonate with unilateral renal abscess due to Staphylococcus aureus is reported, with septicemia, with no other suppurative focus, nor with urinary malformation, with good clinical evolution with intravenous antibiotics and without surgical treatment, but with renal scars sequel. From this case, the strategies of diagnosis, treatment and followup of the renal abscess in a neonate are analyzed, emphasizing the early diagnosis to avoid renal scars.

摘要

肾脓肿在新生儿中是一种罕见疾病,但可能会产生严重后果:败血症,死亡率高,肾瘢痕形成以及慢性肾衰竭风险。本文报道了一名因金黄色葡萄球菌引起单侧肾脓肿的新生儿,伴有败血症,无其他化脓病灶,也无泌尿系统畸形,经静脉使用抗生素治疗,未进行手术,临床病情好转,但遗留肾瘢痕。基于此病例,分析了新生儿肾脓肿的诊断、治疗及随访策略,强调早期诊断以避免肾瘢痕形成。

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