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2017 ; 6
(1
): 18-21
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English Wikipedia
Serial sonographic findings during progression from acute pyelonephritis to renal
abscess: a rare case report
#MMPMID28509119
Sato M
; Suzuki S
; Shimada S
; Yamamoto S
; Taketazu G
; Mukai T
; Taketazu M
; Sakata H
; Oki J
CEN Case Rep
2017[May]; 6
(1
): 18-21
PMID28509119
show ga
Renal abscess, accumulation of infective fluid in the kidney, is a rare
pathology. Currently, no reports of the serial imaging changes of acute
pyelonephritis (APN) progressing to renal abscess exist. We report clinical and
serial sonographic findings of a patient with hyper-immunoglobulin E syndrome, a
primary immunodeficiency, who developed APN that progressed to renal abscess.
Renal ultrasonography revealed that echogenicity of infectious lesions
dramatically changed from isoechoic to hyperechoic and to hypoechoic during
progression. These findings are useful for differential diagnosis of APN, acute
focal bacterial nephritis, and renal abscess.