Renal Abscess in a 16-Year-Old Post COVID Infection

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renal abscess

A pediatric patient diagnosed with renal abscess post covid infection

Pediatric patients suffering from prolonged fever is a diagnostic challenge for physicians. They tend to associate it with COVID19 related diseases. If the patient has a history of SARS-CoV2 infection. 1xbet casino

This case is of a girl who presented to the emergency and the doctors suspected it to be multi-inflammatory syndrome in children. However, after multiple tests, the clinicians made a final diagnosis of the renal abscess.

Case Report

A 16-year-old Hungarian girl presented to the Pediatric Institute with prolonged fever and bilateral non-purulent conjunctivitis. Furthermore, she had muscle pain, general malaise, weight loss, and the colour of her sputum was yellow. جاك بوت

She had the SARS-CoV2 infection three weeks before her admission to the hospital. Moreover, her inflammatory markers were also elevated. However, after the doctors did a repeated urine analysis, urine cultures of aerobic and anaerobic bacteria, hemoculture, chest x-ray, and otorhinolaryngology, the results were negative. They ruled out the criteria of MIS-C diagnosis based on the labs and clinical presentation.

The doctors also did an abdominal ultrasound that revealed a simplex cyst in the upper third of the left kidney, at the parenchymal edge. In addition, MRI showed a multi-compartment, septated, and thick-walled parenchymal lesion in the right kidney’s upper pole. The lesion was significant for the characteristics of an abscess. Other than that, the lesions in the upper pole of the left kidney that appeared to be cysts were lesions.

Treatment

The doctors treated her with intravenous wide spectrum antibiotics 2g meropenem for five days. However, she was unresponsive to the treatment, so, surgical; intervention was required for the removal of the abscess.

Conclusion

This case signifies that during the COVID19 pandemic, clinicians should consider other life-threatening conditions during patient diagnosis. Instead of the obvious and common post-COVID aetiology during first-line investigations. الرهان في سباق الخيل

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