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Serial sonographic findings during progression from acute pyelonephritis to renal abscess: a rare case report

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Abstract

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.

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Acknowledgments

The authors thank Mr. Takahiro Yamagishi and Mr. Shingo Okazaki who performed ultrasonography. They also thank Dr. Hironori Takahashi from the Department of Pediatrics, Asahikawa Medical University, for his expert advice on managing renal abscess.

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Authors and Affiliations

  1. Department of Pediatrics, Asahikawa-Kosei General Hospital, 24-111, 1-jodori, Asahikawa, 078-8211, Japan

    Masayuki Sato, Shigeru Suzuki, Sorachi Shimada, Shiho Yamamoto, Genya Taketazu, Tokuo Mukai, Mio Taketazu, Hiroshi Sakata & Junichi Oki

Authors
  1. Masayuki Sato
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  2. Shigeru Suzuki
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  3. Sorachi Shimada
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  4. Shiho Yamamoto
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  5. Genya Taketazu
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  6. Tokuo Mukai
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  7. Mio Taketazu
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  8. Hiroshi Sakata
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  9. Junichi Oki
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Corresponding author

Correspondence to Masayuki Sato.

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The authors have declared that no Conflict of interest exists.

This article does not contain any studies with animals performed by any authors.

Informed consent was obtained from all individuals participants included in the study.

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Sato, M., Suzuki, S., Shimada, S. et al. Serial sonographic findings during progression from acute pyelonephritis to renal abscess: a rare case report. CEN Case Rep 6, 18–21 (2017). https://doi.org/10.1007/s13730-016-0236-z

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  • DOI: https://doi.org/10.1007/s13730-016-0236-z

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