Author(s): Andee Dzulkarnaen Zakaria*, Syed Hassan, Shaharanee Nor Aida, Syed Azhar Syed Sulaiman, Amer Hayat Khan
Perinephric abscess is a pocket of pus caused by an infection around one or both kidneys. The incidence of perinephric abscess is uncommon which ranges from 1-10 cases for every 10, 000 individuals. Both men and women are affected with equal frequency. A 46 years old lady being admitted to the surgical ward due to the recurrent perinephric collection and pus discharge from nephrostomy insertion site. Patient has undergone ultrasound guided drainage for 2 times and nephrostomy was performed. Upon admission, IV Cefuroxime 750 mg tds, tablet Ciprofloxacin 250 mg BD and Capsule Tramadole 50 mg was given. The mainstay of treatment is drainage of the abscess and administration of antibiotics to control sepsis and to prevent the spread of infection. Since patient has undergone nephrostomy and the catheter is placed in situ for a long time, she is at high risk of developing sepsis. Therefore and extended period of antibiotic treatment is planned for her. Successful treatment of renal abscess requires the use of approximate antibiotics along with percutaneous drainage. Early diagnosis and treatment of renal and perinephric abscess is important to prevent complications of septicemia or even death as reported earlier.