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SEGMENTAL ACUTE PYELONEPHRITIS A Precursor to Renal Carbuncle or Abscess?
Author(s) -
Costas S.,
Rippey J. J.,
Blerk P. J. P. van
Publication year - 1972
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1972.tb10099.x
Subject(s) - general hospital , medicine , medical school , ophthalmology , general surgery , medical education
SUMMARY Two cases of apparently segmental pyelonephritis encountered at surgical exploration of the kidney are presented. It is postulated that this is a stage in the spectrum of acute inflammatory lesions of the kidney which falls between acute pyelonephritis on the one hand and renal abscess or carbuncle on the other. In clinical practice the diagnosis is infrequently made at this stage because the radiographic appearances indicative of a localised space‐occupying lesion are not necessarily present. Antibiotic treatment during this stage of the disease may be adequate. However, because of the difficulty in deciding whether an abscess is present or not, failure of the clinical and radiological response to treatment would indicate the necessity for surgical exploration.