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KMID : 0359920110300060661
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Korean Journal of Nephrology
2011 Volume.30 No. 6 p.661 ~ p.666
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A Perirenal Abscess Recurring with Methicillin-Resistant Staphylococcus Aureus and Mycobacterium Tuberculosis Co-Infection after Treatment of Escherichia Coli Infection: A Case Report
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Kim Tae-Wan
Lee Han-Sang
Kang Seung-Dae
Han Sang-Youb
Kwak Yee-Gyung
Han Kum-Hyun
Lee Keon-Cheol
Kim Han-Seong
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Abstract
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Renal and perirenal abscesses are disease entities caused by infections in or around the kidneys. As imaging modalities have improved in quality and convenience, diagnosing these diseases has become easier. Some cases are refractory to conventional treatment and require surgical correction, although most patients can be cured by antibiotic treatment and percutaneous drainage. We here report the case of a patient with a perirenal abscess that recurred twice after appropriate antibiotic treatment and percutaneous drainage. Although Gram-negative bacilli are the most common pathogenic cause of these diseases, we isolated methicillin-resistant Staphylococcus aureus and Mycobacterium tuberculosis in our patient. Thus, poor responses to appropriate treatment in patients with a perirenal abscess can result not only from antimicrobial resistance or a co-infection but also from the 2 conditions existing concomitantly.
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KEYWORD
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Perinephritis, Abscess, Methicillin-resistant Staphylococcus aureus, Tuberculosis
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