Hung C H, Wang C C, Hua Y M, Chen Y H, Chu M L
Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998 Sep-Oct;39(5):336-8.
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.
肾脓肿在儿科患者中是一种非常罕见的肾脏疾病，常因不恰当使用抗生素治疗尿路感染或其他不明原因而并发。本文报告了两例肾脓肿病例，尽管之前已使用抗生素治疗。通过超声检查和计算机断层扫描（CT）很快做出了诊断。此外，在治疗期间，进行了一系列超声检查以监测脓肿的消退情况。其中一例，仅用抗生素治疗2个月后病变消退；另一例在抗生素治疗联合置管引流3周后几乎消失。这些成像技术有助于及时诊断，并且如果抗生素治疗未能使脓肿消退，还可进行经皮引流。
