Costello A J, Blandy J P, Hately W
Urology. 1983 Feb;21(2):201-4. doi: 10.1016/0090-4295(83)90028-6.
Two patients with renal cortical abscesses were treated successfully by an intensive antibiotic regimen together with percutaneous aspiration, rather than by the conventional treatment of open drainage, which often is followed by secondary nephrectomy. This adaptation of percutaneous aspiration to the management of renal carbuncle coincides with a change in the causative microorganism which today is often a gram-negative coliform rather than a hematogenously borne staphylococcus, which usually complicates some pre-existing abnormality in the urinary tract.
两名肾皮质脓肿患者通过强化抗生素治疗并结合经皮穿刺抽吸，而非传统的开放引流治疗（开放引流往往随后需要进行二期肾切除术），获得了成功治疗。这种将经皮穿刺抽吸应用于肾痈治疗的方法，与致病微生物的变化相契合，如今致病微生物通常是革兰氏阴性大肠杆菌，而非血源性葡萄球菌，血源性葡萄球菌通常会使尿路中一些先前存在的异常情况复杂化。
