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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR  
Year : 2012  |  Volume : 23  |  Issue : 6  |  Page : 1297
Renal abscess caused by Escherichia coli


1 Department of Urology, Calcutta National Medical College, Kolkata, India
2 Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, India

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Date of Web Publication17-Nov-2012
 

How to cite this article:
Jindal T, Sharma PK. Renal abscess caused by Escherichia coli. Saudi J Kidney Dis Transpl 2012;23:1297

How to cite this URL:
Jindal T, Sharma PK. Renal abscess caused by Escherichia coli. Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2020 Dec 3];23:1297. Available from: https://www.sjkdt.org/text.asp?2012/23/6/1297/103582
To the Editor,

We read with interest the article by Baradkar et al. [1] The authors describe a case of renal abscess caused by Escherichia coli. We agree with the authors that it is an uncommon diagnosis in children and also a difficult clinical condition. There are some issues in the report that the authors have not addressed. The authors have not been very clear about the site of abscess in the patient. Although we presume by reading the discussion that the abscess was sub-capsular, the pre-operative ultrasound does not show any such evidence. The ultrasound just reveals a calculus in the left kidney with hydronephrosis. As none of the investigations performed (i.e., ultrasound, intravenous urogram) were suggestive of sub-capsular abscess, how did the authors make such a diagnosis? The second issue is that if the patient had an open left-sided pyelolithotomy, why was percutaneous drainage of pus performed, as the sub-capsular abscess would have been well visualized at surgery. The authors also state that they could not find a primary focus of infection in their patient and, hence, presume that the stone might have been the nidus of infection. We would like to suggest that a stone culture would have been a good test to substantiate this hypothesis.

 
   References Top

1.Baradkar VP, Mathur M, Kumar S. Renal abscess due to Escherichia coli in a child. Saudi J Kidney Dis Transpl 2011;22(6):1215-8.  Back to cited text no. 1
    

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Correspondence Address:
Tarun Jindal
Department of Urology, Calcutta National Medical College, Kolkata
India
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DOI: 10.4103/1319-2442.103582

PMID: 23168871

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