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Titolo:
Peptostreptococcus asaccharolyticus renal abscess: A rare cause of fever of unknown origin
Autore:
Casullo, VAM; Bottone, E; Herold, BC;
Indirizzi:
Mt Sinai Sch Med, Dept Pediat, New York, NY USA Mt Sinai Sch Med New YorkNY USA Sch Med, Dept Pediat, New York, NY USA Mt Sinai Sch Med, Dept Med, New York, NY USA Mt Sinai Sch Med New York NYUSA nai Sch Med, Dept Med, New York, NY USA
Titolo Testata:
PEDIATRICS
fascicolo: 1, volume: 107, anno: 2001,
pagine: NIL_77 - NIL_80
SICI:
0031-4005(200101)107:1<NIL_77:PARAAR>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDREN; PYELONEPHRITIS; CHILDHOOD; DISEASE;
Keywords:
fever of unknown origin; renal abscess; Peptostreptococcus asaccharolyticus;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Casullo, VAM Mt Sinai Med Ctr, Div Infect Dis, Box 1657,1 Gustave L Levy Pl, New York, NY 10029 USA Mt Sinai Med Ctr Box 1657,1 Gustave L Levy Pl NewYork NY USA 10029
Citazione:
V.A.M. Casullo et al., "Peptostreptococcus asaccharolyticus renal abscess: A rare cause of fever of unknown origin", PEDIATRICS, 107(1), 2001, pp. NIL_77-NIL_80

Abstract

Renal abscess is uncommon in pediatrics and is rarely a cause of fever of unknown origin. We recently cared for a patient who presented with a 3-weekhistory of fever. An indium scan ultimately led to the diagnosis of a renal abscess. Aspiration yielded Peptostreptococcus asaccharolyticus. This unusual case prompted a review of the clinical and microbiologic features of renal abscess in pediatric patients at our hospital over the past 10 years. Seven additional patients with a discharge diagnosis of renal abscess were identified. Only 2 of the patients had identifiable risk factors (diabetes mellitus and polycystic kidneys). Staphylococcus aureus or Enterobacteriaceae were responsible for most infections, consistent with hematogenous and urinary tract sources, respectively. No other cases of anaerobic abscess were identified. This case highlights the importance of considering a renal abscess in the differential diagnosis of fever of unknown origin and of processing specimens for both aerobic and anaerobic organisms.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 06:53:18