Saudi Journal of Kidney Diseases and Transplantation

LETTER TO THE EDITOR
Year
: 2012  |  Volume : 23  |  Issue : 6  |  Page : 1297-

Renal abscess caused by Escherichia coli


Tarun Jindal1, Pramod Kumar Sharma2,  
1 Department of Urology, Calcutta National Medical College, Kolkata, India
2 Department of Urology, Institute of Postgraduate Medical Education and Research, Kolkata, India

Correspondence Address:
Tarun Jindal
Department of Urology, Calcutta National Medical College, Kolkata
India




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


How to cite this URL:
Jindal T, Sharma PK. Renal abscess caused by Escherichia coli. Saudi J Kidney Dis Transpl [serial online] 2012 [cited 2023 Feb 3 ];23:1297-1297
Available from: https://www.sjkdt.org/text.asp?2012/23/6/1297/103582


Full Text

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

1Baradkar VP, Mathur M, Kumar S. Renal abscess due to Escherichia coli in a child. Saudi J Kidney Dis Transpl 2011;22(6):1215-8.