신 및 신 주위 농양 : 지난 10 년 간 의 단일 기관 경험 
 Renal and Perinephric Abscesses : Ten Years Experience at a Single Center 
 대한 비뇨기과 학회지 2008 년 49 권 10 호 p . 923 ~ 930 
 성병주 ( Sung Byung - Ju ) - 고신 대학교 의과 대학 비뇨기과학 교실 
 이상돈 ( Lee Sang - Don ) - 부산 대학교 의과 대학 비뇨기과학 교실 
 정재민 ( Chung Jae - Min ) - 고신 대학교 의과 대학 비뇨기과학 교실 
 최성 ( Choi Seong ) - 고신 대학교 의과 대학 비뇨기과학 교실 
 Purpose : We analyzed the clinical experiences of patients with renal , perinephric , and mixed abscesses during the last 10 years in a single center . 
 Materials and Methods : We reviewed the medical records of 33 patients with renal , perinephric , and mixed abscesses treated at our hospital between January 1998 and March 2008 . The medical records , including predisposing conditions , clinical manifestations , physical examination , laboratory and radiologic findings , duration of hospitalization , types of uropathogens , time to clinical improvement , time to laboratory improvement , treatment , and clinical outcomes , were retrospectively analyzed . 
 Results : Renal , perinephric and mixed abscesses occurred in 22 ( 66 . 7 %), 4 ( 12 . 1 %), and 7 ( 21 . 2 %) patients . The most common predisposing conditions were diabetes mellitus ( 39 . 4 %) and liver disease ( 27 . 3 %). Flank pain ( 57 . 6 %) and fever ( 54 . 5 %) were the most common symptoms . Urine and blood cultures were positive in 23 . 3 and 19 . 2 % of patients , respectively . The most common isolated uropathogen in the urine , blood , and purulent cultures was E . coli . The time to clinical and laboratory improvement was not significantly different between the patients with renal , perinephric , and mixed abscesses . Patients with renal , perinephric , and mixed abscesses received antibiotic therapy only in 59 . 1 , 50 . 0 , and 42 . 9 % of cases , respectively . Similarly , patients with renal , perinephric , and mixed abscesses underwent percutaneous or surgical drainage in 22 . 7 , 50 . 0 , and 14 . 3 % of cases , respectively . Patients required a nephrectomy in 18 . 2 and 42 . 9 % of renal and mixed abscess cases , respectively . Most patients were cured ( 54 . 5 %) or improved ( 42 . 4 %) at the time of discharge from the hospital . 
 Conclusions : We suggest that renal , perinephric , and mixed abscesses are successfully managed by proper medical or interventional treatment . However , the cases suspicious for renal cancer or with non - functioning kidneys must be evaluated carefully for nephrectomy . 
 KMID : 0358320080490100923 DOI :