Author/Authors :
Al Soub, Hussam Hamad Medical Corporation - Department of Internal Medicine, Qatar , Al Maslamani, Mona Hamad Medical Corporation - Department of Internal Medicine, Qatar , Al Khuwaiter, Jameela Hamad Medical Corporation - Department of Internal Medicine, Qatar , El Deeb, Yasser Hamad Medical Corporation - Department of Internal Medicine, Doha , El-Shafie, Sittana S. Hamad Medical Corporation - Department of Pathology and Laboratory Medicine, Qatar
Abstract :
Perinephric abscess, a collection of purulent material in the space between the kidney and Gerota’s fascia, is a relatively rare, life-threatening but treatable disease. The most common route of infection is direct spread from the urinary tract, in which there is usuallyan underlying parenchymatous disease. The source of infection may also be blood-borne. Rarely, a perinephric abscess results from gastrointestinal pathology. The microbiology of perinephric abscess is broad: Escherichia coli, Proteus species, and Staphylococcus aureus are the most common etiologic agents. Perinephric abscess due to Shigella spp has not been reported before. Surgical complications of shigellosis that have been described in the English language literature include appendicitiswith or without perforation, colonic perforation, intestinal obstruction,peritonitis, and intraabdominal abscess. We report a case of Shigella flexneri perinephric abscess and review the pertinent literature
