1/4. trichomonas vaginalis in a perinephric abscess. A case report.A patient with chronic vulvo-vaginitis due to trichomonas vaginalis, and obstructive uropathy associated with renal calculi, developed a perinephric abscess following trauma incurred in a motorcycle accident. T. vaginalis was seen on smear and cultured from the purulent drainage from the perinephric abscess. Although T. vaginalis is commonly pathogenic only to the lower genito-urinary system, the upper urinary tract may very rarely be involved by ascending infection. If this protozoan spreads to extraluminal sites the inflammatory potential is marked, as has been found in animals with experimental infection. Examination of a fresh smear of pus may be critically important in the diagnosis of closed-space infections of unknown etiology.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
2/4. Perinephric abscess in patients with polycystic kidney disease undergoing chronic hemodialysis.5 patients with polycystic kidney disease undergoing chronic hemodialysis who developed perinephric abscesses are described. gallium-67 scintigraphy was helpful in making a diagnosis in 2 of these patients. All 5 patients initially presented with urinary tract infections. Perinephric abscess became evident over a variable period of time (2--28 days) following completion of antibiotic therapy for their urinary tract infection. gallium-67 scintigraphy appears useful in detecting this complication, and nephrectomy should be considered once the diagnosis is confirmed.- - - - - - - - - - ranking = 1keywords = urinary (Clic here for more details about this article) |
3/4. bacteroides fragilis perinephric abscess.Although urinary tract infection caused by bacteroides fragilis has been recognized since the turn of the century it is not frequently recognized in clinical practice. Only a small number of significant upper urinary tract infections in which bacteroides fragilis has had a significant pathogenic role have been reported previously. The use of systemic metronidazole in the treatment of this rare and unusually refractory form of urinary tract infection is described.- - - - - - - - - - ranking = 1.5keywords = urinary (Clic here for more details about this article) |
4/4. Renal malacoplakia.A case of malacoplakia of the kidney is presented. The incidental finding of asymptomatic pyuria focused attention on the urinary system. Urologic evaluation concluded an avascular renal mass. The diagnosis of malacoplakia was established only after histologic studies of the surgical specimen were completed. Purulent perinephritis complicated the postoperative outcome.- - - - - - - - - - ranking = 0.5keywords = urinary (Clic here for more details about this article) |