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소아 신농양의 임상적 고찰

Other Titles
 A Clinical Study of Renal Abscesses in Children 
Authors
 황유식  ;  이영준  ;  안선영  ;  이재승  ;  한상원 
Citation
 Journal of the Korean Society of Pediatric Nephrology (대한소아신장학회지), Vol.9(1) : 64-68, 2005 
Journal Title
 Journal of the Korean Society of Pediatric Nephrology (대한소아신장학회지) 
ISSN
 1226-5292 
Issue Date
2005
MeSH
renal abscess ; prolonged fever ; vesicoureteral reflux ; renal ultrasonography
Keywords
renal abscess ; prolonged fever ; vesicoureteral reflux ; renal ultrasonography
Abstract
Purpose : Renal abscess is very rare in children and its diagnosis is difficult because symptoms are often nonspecific. In previous studies, on]y 15% to 25% of patients were reported to be diagnosed at the time of admission. Early diagnosis and treatment are important be cause mortality rate correlates positively with the time of diagnosis. The purpose of this study is to clarify the clinical features of children with renal abscess and to investigate the possible indicators of this disease for early diagnosis and Proper treatment. Methods : Twelve children diagnosed with renal abscess from Jan. 1996 to Jul. 2004 were included. The age of patients ranged from S months to 15 years. We retrospectively analyzed the demographics of patients, their symptoms, predisposing factors, diagnostic methods and causative organisms and the treatment modalities. Results : Fever was the most common manifestation, Five children(42%) had vesicoureteral reflux. Renal ultrasonography and computerized tornography were the most frequently used imaging tools to detect renal abscess. Gram negative bacteria were isolated in 7 patients and Staphylococcus aureus grew in 2 patients. All patients received intravenous antibiotics and 4 patients underwent aspiration or drainage of renal abscess. The average admission duration was 30 days. Conclusion : Renal abscess should be included in the differential diagnosis of prolonged fever in children, especially when flank pain is combined. For early diagnosis and a better prognosis, patients should be promptly investigated with ultrasonography or computerized tomography.
Files in This Item:
T200500548.pdf Download
DOI
OAK-2005-03726
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Ahn, Sun Young(안선영)
Lee, Jae Seung(이재승)
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150523
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