Treatments of renal abscess

A renal abscess is a collection of pus around one or both kidneys. Renal abscesses are usually the result of the rupture of an acute cortical abscess.

Renal abscesses are associated with high morbidity and mortality because their diagnosis is difficult. They are presented at an average age of 46 years, with a predominance of women of 80%.

Soon infrequent in children, but its consequences can be serious. These damages include sepsis, severe kidney damage or even kidney loss.

Risk factors for renal abscess

Factors that predispose to the development of renal abscesses have been identified. Some of the most important are:

  • Mellitus diabetes.
  • Nephrolithiasis.
  • Presence of urinary infection.
  • Reflux vesicoureteral.
  • Trauma.
  • Neoplasms
  • Liver disease.

40% of patients have multiple risk factors associated. Patients with more than 10 years of diagnosis of diabetes more frequently need intensive therapy and nephrectomy.

The duration of symptoms prior to diagnosis is, on average, 11 days. However, only 35% of patients are diagnosed correctly when hospitalized. This is due to the lack of specific clinical data.

Causes

A renal abscess is caused by urinary tract infections that start in the bladder. Then they spread to the kidneys and then to the area around them.

Surgery in the urinary tract or reproductive system, or an infection of the bloodstream, can also lead to a kidney abscess.

Kidney stones are the biggest risk factor for kidney abscess, which block the urinary flow. This favors the proliferation of the infection. Bacteria tend to stick to the stones and antibiotics can not destroy them there.

The calculations are in between 20% and 60% of people with renal abscess. Other risk factors for kidney abscess include diabetes, having abnormal urinary tract, trauma or the use of intravenous drugs.

Read also: 7 treatments of natural origin to alleviate kidney pain

Symptoms and diagnosis

Some of the symptoms of renal abscess are chills, fever, sweating and pain in the side or abdomen. However, Pain may radiate to the groin or lower leg. In addition, there may be sensitivity in the back.

Tests for diagnosis include:

Treatment

The drainage of abscesses, either percutaneously or through open surgery, is the most accepted treatment. To treat a kidney abscess, the pus can be drained by means of a catheter which is placed through the skin or with surgery.

Likewise, antibiotics should be administered, initially through a vein. Afterwards, you can switch to oral treatment when the infection starts to improve. Open drainage is the option that is most likely to resolve renal abscess.

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Antibiotics for renal abscess

Antibiotics are the first line of treatment for renal abscess. The medications and the time of use will depend on the patient's state of health. However, we must also take into account the bacteria found in urinalysis.

As usual, the signs and symptoms of a kidney infection begin to disappear after a few days of treatment. However, it may be necessary to continue taking antibiotics for a week or more.

It is advisable to perform another culture of urine to make sure that the infection has disappeared. However, if the infection persists, another antibiotic treatment must be performed.

If the infection is severe, hospitalization may be necessary. In this case, The treatment may comprise antibiotics and fluids that are administered intravenously.

To reduce discomfort during the process of recovering from a kidney infection, you can adopt a series of measures as:

  • Apply heat: Place a thermal compress on the abdomen, back, or side to relieve pain.
  • Use of analgesics: To reduce fever or reduce discomfort, analgesics such as paracetamol or ibuprofen are used.
  • Drink liquids: maintaining a good level of hydration can help you eliminate bacteria from the urinary tract. In addition, it is convenient to avoid coffee and alcohol until the infection disappears.

In conclusion, renal abscesses are serious complications to which we must pay attention. In case of noticing any symptoms, it is advisable to consult the specialist so that he makes the correct diagnosis and the problem does not lead to worse consequences.