Course and management of renal subcapsular abscess in a 63-year-old diabetic woman

Wen Liang Yu, Shaw Nan Jean, Hsein Jar Chiang

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Renal subcapsular abscess is a very rare disease that is defined by a suppurative process localized to a space between the renal capsule and the renal parenchyma. The course and management of subcapsular abscesses have received less attention than those of renal and perirenal abscesses. We describe a 63-year-old diabetic woman who presented with intermittent fever of 1 month's duration. She was initially treated for suspected acute pyelonephritis then referred to our hospital because of poor clinical response to cefazolin plus gentamicin. Computed tomography of the abdomen revealed a huge subcapsular abscess with displacement and compression of the left renal parenchyma. A percutaneous catheter was inserted and left in place for 8 days; a total of approximately 850 mL of pus was drained. Culture of the pus yielded Klebsiella pneumoniae and Enterobacter cloacae. A 2-week course of moxalactam was administered on the basis of the results of in vitro antibiotic susceptibility testing. The distorted renal parenchyma appeared normal at sonographic follow-up examination 3 weeks after hospitalization. The course and management of this rare entity are presented as a reminder to physicians that renal subcapsular abscess could manifest as fever of unknown origin in a diabetic patient. A high degree of clinical suspicion is required for early diagnosis and treatment in order to achieve a satisfactory outcome.

Original languageEnglish
Pages (from-to)73-75
Number of pages3
JournalJournal of the Formosan Medical Association = Taiwan yi zhi
Volume97
Issue number1
Publication statusPublished - Jan 1998
Externally publishedYes

Fingerprint

Abscess
Kidney
Suppuration
Moxalactam
Fever of Unknown Origin
Enterobacter cloacae
Cefazolin
Pyelonephritis
Klebsiella pneumoniae
Rare Diseases
Gentamicins
Abdomen
Capsules
Early Diagnosis
Hospitalization
Fever
Catheters
Tomography
Anti-Bacterial Agents
Physicians

Keywords

  • Enterobacter cloacae
  • Klebsiella pneumoniae
  • Percutaneous catheter drainage
  • Renal subcapsular abscess

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Course and management of renal subcapsular abscess in a 63-year-old diabetic woman. / Yu, Wen Liang; Jean, Shaw Nan; Chiang, Hsein Jar.

In: Journal of the Formosan Medical Association = Taiwan yi zhi, Vol. 97, No. 1, 01.1998, p. 73-75.

Research output: Contribution to journalArticle

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